Individual
DR. ELEANYA OGBURU-OGBONNAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 MILLWOOD AVE, COLUMBIA, SC 29205-1218
(803) 788-0038
(803) 788-0655
Mailing address
PO BOX 209, STATE PARK, SC 29147-0209
(803) 788-0038
(803) 788-0655
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18323
SC
208VP0014X
Interventional Pain Medicine Physician
18323
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T23356
—
SC
Enumeration date
10/29/2007
Last updated
09/25/2014
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