Individual
DR. AYOTUNDE KOFOWOROLA AYODELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1920 MEMORIAL DR, CERES, CA 95307-1827
(209) 383-7441
Mailing address
430 S HERLONG AVE, SUITE 104, ROCK HILL, SC 29732-9446
(803) 980-6610
(803) 980-6162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
SC 21581
SC
208000000X
Pediatrics Physician
Primary
199147
CA
208000000X
Pediatrics Physician
21581
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2934
—
SC
Enumeration date
11/09/2005
Last updated
07/14/2025
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