Individual
DR. OLAKUMBI B OTULANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 120, COLUMBIA, SC 29203-6850
(803) 434-8866
(803) 933-3049
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P1381
TX
207RG0100X
Gastroenterology Physician
036.143709
IL
207RG0100X
Gastroenterology Physician
Primary
39915
SC
207RG0100X
Gastroenterology Physician
5101025775
MI
207RG0100X
Gastroenterology Physician
P1381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399152
—
SC
Enumeration date
11/06/2011
Last updated
01/06/2023
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