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Organization

MEDOGUN PA

Active
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Organization

MEDOGUN PA

Active
Other names
milestones pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOJIBOLA OLAYINKA SOLAJA M.D. (MEDICAL DOCTOR)
(803) 788-7882
Entity
Organization

Contact information

Practice address
120 WILDEWOOD PARK DR, SUITE B, COLUMBIA, SC 29223-4300
(803) 788-7882
(803) 788-7818
Mailing address
120 WILDEWOOD PARK DR, SUITE B, COLUMBIA, SC 29223-4300
(803) 788-7882
(803) 788-7818

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
21514
SC

Other

Enumeration date
02/07/2007
Last updated
08/22/2020
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