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Individual

OLUMIDE MICHAEL MUGHELLI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1843 ASHLEY RIVER RD, CHARLESTON, SC 29407-4740
(843) 769-4424
(843) 769-4425
Mailing address
1843 ASHLEY RIVER RD, CHARLESTON, SC 29407-4740
(843) 769-4424
(843) 769-4425

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14683
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146835
SC
Enumeration date
05/27/2006
Last updated
07/08/2007
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