Individual
GBEMISOLA MAYOKUN OLAYEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
120 MEDICAL PARK DR STE 100, BRIDGEPORT, WV 26330-9013
(681) 342-3490
Mailing address
2673 DAVISSON RUN RD STE 303, CLARKSBURG, WV 26301-7640
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
28882
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2014
Last updated
08/15/2024
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