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Individual

DR. OLUBUNMI ASHABI ALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3864 RENEE DRIVE, MYRTLE BEACH, SC 29579
(843) 353-2111
(843) 628-4326
Mailing address
PO BOX 51827, MYRTLE BEACH, SC 29579-0031
(843) 353-2111
(843) 628-4326

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32378
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP9634
SC
Enumeration date
05/25/2009
Last updated
02/16/2021
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