NPI | 1730229683 |
---|---|
Doing Business As | MEDOGUN PSYCHIATRIC ASSOCIATES |
Entity Type | Organization |
Authorized Contact | AYODELE ADETOKUNBO OGUNFOWORA Medical Director 803-788-7882 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 21075) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2020-08-22 |