OMOLOLA AJOKE OMOTOSO

MONCKS CORNER, SC
NPI1154514529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  063694)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  MT185765)
207R00000X Internal Medicine
(Licence: SC  31061)
208M00000X Hospitalist
(Licence: MO  2016004893)
Enumeration Date2007-08-20
Last Update Date2022-10-28
Business Address
Dr. OMOLOLA AJOKE OMOTOSO MD
110 EXECUTIVE PARKWAY
MONCKS CORNER, SC 29461
Phone number: 843-899-9099
Mailing Address
Dr. OMOLOLA AJOKE OMOTOSO MD
P.O. BOX 1116
MONCKS CORNER, SC 29461
Phone number: 843-899-9099
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