Healthcare Provider Details

I. General information

NPI: 1245195080
Provider Name (Legal Business Name): ZEAN HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 S CHERRY ROAD
ROCK HILL SC
29732-3487
US

IV. Provider business mailing address

628 BARCROFT LN
FORT MILL SC
29715-6228
US

V. Phone/Fax

Practice location:
  • Phone: 732-791-8177
  • Fax:
Mailing address:
  • Phone: 732-791-8177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SANDRA OKONKWO
Title or Position: CEO
Credential: MD
Phone: 732-791-8177