Ayotunde Kofoworola Ayodele in Rock Hill - Specialist

Ayotunde Kofoworola Ayodele - NPI 1902887706

Ayotunde Kofoworola Ayodele is a Specialist in Rock Hill, South Carolina. Ayotunde Kofoworola Ayodele practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ayotunde Kofoworola Ayodele is 1902887706. The last update date is 2007-07-08.

Ayotunde Kofoworola Ayodele's current location address is 430 S Herlong Ave, Rock Hill, South Carolina. You can contact this provider via phone number 8039806610 and fax number 8039806162. The mailing address for Ayotunde Kofoworola Ayodele is 430 S Herlong Ave, Rock Hill, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Ayotunde Kofoworola Ayodele
Address 430 S Herlong Ave, Rock Hill, South Carolina
Phone Number 8039806610
Fax Number 8039806162
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1902887706
Provider Enumeration Date 2005-11-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 430 S Herlong Ave
City Rock Hill
State South Carolina (SC)
Post Code 297329446
Phone Number 8039806610
Fax Number 8039806162

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No SC 21581
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GP2934 SC --

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FAQs about Ayotunde Kofoworola Ayodele

What is the Ayotunde Kofoworola Ayodele's unique identification number?

The Ayotunde Kofoworola Ayodele has been assigned the NPI (National Provider Identifier) Number 1902887706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Ayotunde Kofoworola Ayodele?

The Ayotunde Kofoworola Ayodele is situated at 430 S Herlong Ave, in the city of Rock Hill, state of SC, with the zip code 297329446.

What is the area of specialization for Ayotunde Kofoworola Ayodele, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ayotunde Kofoworola Ayodele is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

When was the Ayotunde Kofoworola Ayodele's 1902887706 issued?

The Ayotunde Kofoworola Ayodele's 1902887706 was issued on 2005-11-09.

When was the information pertaining to Ayotunde Kofoworola Ayodele most recently updated or revised?

The details related to Ayotunde Kofoworola Ayodele, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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