Adebayo, Omotola Aduke

Adebayo, Omotola Aduke is an individual health care provider with primary practice located at 106 Ram Cat Aly , Seneca SC 29678-3244. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Other Service Providers / Health Educator. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Adebayo, Omotola Aduke can be contacted via phone (864) 888-4445.

Contact Information

Primary practice address
106 Ram Cat Aly Seneca SC 29678-3244
Phone: (864) 888-4445
Fax: (864) 888-4345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 18531 South Carolina
Other Service Providers / Health Educator 174H00000X RN Georgia

Profile Details

NPI number 1992142566
LBN Legal business name Adebayo, Omotola Aduke
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2013
Last updated Mar 12th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992142566 NPPES
South Carolina MEDICAID GP4697

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