Individual
DR. ADEBOLA E ROJUGBOKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
149 ST JAMES AVE, GOOSE CREEK, SC 29445-2923
(843) 753-2334
(843) 753-7986
Mailing address
PO BOX 160, GOOSE CREEK, SC 29445-0160
(843) 753-2334
(843) 753-7986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21082
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210827
—
SC
01
—
H010516494
MEDICARE PIN FETTER HEALTH CARE NETWORK
SC
Enumeration date
08/02/2006
Last updated
07/21/2015
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