Ayodele, Ayotunde Kofoworola

Ayodele, Ayotunde Kofoworola is an sole proprietor health care provider with primary practice located at 430 S Herlong Ave Suite 104, Rock Hill SC 29732-9446. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ayodele, Ayotunde Kofoworola can be contacted via phone (803) 980-6610.

Contact Information

Primary practice address
430 S Herlong Ave Suite 104 Rock Hill SC 29732-9446
Phone: (803) 980-6610
Fax: (803) 980-6162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X SC 21581 South Carolina

Profile Details

NPI number 1902887706
LBN Legal business name Ayodele, Ayotunde Kofoworola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902887706 NPPES
South Carolina MEDICAID GP2934

Popular Providers