Individual
JOSEPH OLAWOLE OGUNSULIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 885-7758
(864) 855-7749
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
075794
GA
207R00000X
Internal Medicine Physician
38697
SC
208M00000X
Hospitalist Physician
Primary
38697
SC
208M00000X
Hospitalist Physician
75794
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386978
—
SC
05
—
PENDING
—
GA
Enumeration date
07/15/2012
Last updated
08/11/2022
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