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Individual

DR. BAMIDELE AYOTUNDE AJIBOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-2500
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
064745
GA
208M00000X
Hospitalist Physician
Primary
064745
GA
208M00000X
Hospitalist Physician
244096
NC
208M00000X
Hospitalist Physician
58481
TN
208M00000X
Hospitalist Physician
81916
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NC4397
SC
Enumeration date
04/01/2008
Last updated
03/05/2023
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