Individual
MOJIROLA OGUNTOYINBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
552 STINEY RD, HARDEEVILLE, SC 29927-5228
(843) 784-2182
Mailing address
PO BOX 357, RIDGELAND, SC 29936-2605
(843) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5401576
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4216
—
SC
Enumeration date
05/22/2007
Last updated
03/10/2020
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