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Individual

DR. OLUWASEUN ADEOLA OMOFOYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4040 HIGHWAY 17 UNIT 301, MURRELLS INLET, SC 29576-5098
(843) 652-8205
(843) 652-8215
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
85687
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
272886
MEDICAL LICENSE #
MA
Enumeration date
05/10/2012
Last updated
12/03/2025
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