Individual
MARY OLUWASEUN OLOWERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13 MEDICAL PARK DR, LEXINGTON, NC 27292-6768
(336) 243-8615
(336) 724-8624
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025-01599
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/16/2022
Last updated
10/28/2025
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