Individual
MODUPEOLA O AKINOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, NEONATOLOGY, N5W68, WINSTON SALEM, NC 27102-0344
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2008-00383
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
D63161
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910007
—
NC
Enumeration date
03/06/2007
Last updated
11/06/2008
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