DR. OMOLOLA OMOTOSO, MD

Internal Medicine

Active Individual
NPI: 1154514529

Practice Address

110 EXECUTIVE PARKWAY
Moncks Corner, SC 29461

Phone: (843) 899-9099

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes 063694 (GA)
Hospitalist 208M00000X No 2016004893 (MO)

Frequently Asked Questions

NPI 1154514529 is the National Provider Identifier for DR. OMOLOLA OMOTOSO, MD, a Internal Medicine provider located in Moncks Corner, SC. This NPI was enumerated on August 20, 2007.
DR. OMOLOLA OMOTOSO, MD practices at 110 EXECUTIVE PARKWAY, Moncks Corner, SC 29461.

Quick Facts

NPI
1154514529
Type
Individual
Enumerated
Aug 20, 2007
Last Updated
Oct 28, 2022

Nearby Providers