Provider Demographics
NPI:1871518068
Name:NWOSU, EUGENE AZUBIKE (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:AZUBIKE
Last Name:NWOSU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 421718
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29442-4203
Mailing Address - Country:US
Mailing Address - Phone:843-527-7000
Mailing Address - Fax:
Practice Address - Street 1:1014 HUGER DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:SC
Practice Address - Zip Code:29440-3322
Practice Address - Country:US
Practice Address - Phone:843-235-3131
Practice Address - Fax:843-237-9797
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17619207R00000X
GA35489207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00506459KMedicaid
GA06BDFNKMedicare ID - Type UnspecifiedGA MEDICARE PART B
GA00506459KMedicaid
GA060042078Medicare ID - Type UnspecifiedRAILROAD MEDICARE