Provider Demographics
NPI:1104501972
Name:OKEY AGOH, CHIGOZIRIM (PA-C)
Entity type:Individual
Prefix:
First Name:CHIGOZIRIM
Middle Name:
Last Name:OKEY AGOH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 N GREAT WHITE WAY
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-6709
Mailing Address - Country:US
Mailing Address - Phone:919-327-0450
Mailing Address - Fax:
Practice Address - Street 1:122 N GREAT WHITE WAY
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-6709
Practice Address - Country:US
Practice Address - Phone:919-327-0450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant