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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407851793 NPPES
South Carolina MEDICAID 158162

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