Gococo, Kim Ong
Gococo, Kim Ong is an individual health care provider with primary practice located at 65 International Dr , Greenville SC 29615-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gococo, Kim Ong can be contacted via phone (864) 987-7000.Contact Information
Primary practice address
65 International Dr
Greenville SC 29615-4816
Phone: (864) 987-7000
Fax: (864) 672-7852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 15816 | South Carolina |
Profile Details
| NPI number | 1407851793 |
|---|---|
| LBN Legal business name | Gococo, Kim Ong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Dec 20th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407851793 | NPPES |
| South Carolina | MEDICAID | 158162 |
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