Individual
PRUDENCE NASSEM IPAYE-ADEBIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203-6834
(803) 434-6095
(803) 758-0120
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
39801
OK
207P00000X
Emergency Medicine Physician
90102
SC
207Q00000X
Family Medicine Physician
39801
OK
207Q00000X
Family Medicine Physician
90102
SC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
90102
SC
Other
Enumeration date
04/02/2019
Last updated
08/08/2023
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