Organization
SOL MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLA OGUNNIYI PA-C (PHYSICIAN ASSISTANT)
(919) 883-2108
Entity
Organization
Contact information
Practice address
401 WAIT AVE, WAKE FOREST, NC 27587
(919) 883-2108
Mailing address
401 WAIT AVE, WAKE FOREST, NC 27587-2725
(919) 883-2108
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
198788
NC
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/17/2014
Last updated
06/20/2018
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