Medogun PA
NPI #1730229683 in Columbia, South Carolina
Provider Information
- NPI Number
- 1730229683
- Entity Type
- Organization
- Organization Name
- Medogun PA
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 120 WILDEWOOD PARK DR
- Address 2
- SUITE A
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29223-4300
- Phone
- (803) 788-7882
Authorized Official
- Name
- DR. AYODELE ADETOKUNBO OGUNFOWORA, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (803) 788-7882
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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