Individual
IFEDOLAPO O. ODEBUNMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 533-2200
Mailing address
720 WESTVIEW DR. SW, ATLANTA, GA 30310
(404) 756-1368
(404) 756-1313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83515
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2017
Last updated
07/13/2021
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