Individual
ENIOLA O OTUSESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ANDERSON REGIONAL MEDICAL CENTER, 2124 14TH STREET, MERIDIAN, MS 39301
(678) 701-8267
Mailing address
PO BOX 250385, ATLANTA, GA 30325-1385
(706) 267-4999
(678) 397-0065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0026308
AL
207R00000X
Internal Medicine Physician
Primary
18694
MS
207R00000X
Internal Medicine Physician
55269
GA
208M00000X
Hospitalist Physician
18694
MS
Other
Enumeration date
05/09/2006
Last updated
02/25/2026
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