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Contact Information

OMOTOLA A ADEBAYO, NP
106 RAM CAT ALY
SENECA, SC29678-3244
 Phone: 864-888-4445
 Fax: 864-888-4345
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for OMOTOLA A ADEBAYO · (Female)

NPI # 1992142566
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/23/2013
Last updated 03/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN
  • SC License # 18531
  • SC Medicaid GP4697
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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