Healthcare Provider Details

I. General information

NPI: 1770419426
Provider Name (Legal Business Name): GODGIVE NNENNAYA UMOZURIKE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 PRESIDENT ST
CHARLESTON SC
29425-5712
US

IV. Provider business mailing address

67 PRESIDENT ST MSC 865
CHARLESTON SC
29425-5712
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-6091
  • Fax:
Mailing address:
  • Phone: 843-792-6091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberLL97320
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberLL97320
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: