Ajibola, Bamidele Ayotunde
Ajibola, Bamidele Ayotunde is an individual health care provider with primary practice located at 805 Pamplico Hwy , Florence SC 29505-6047. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ajibola, Bamidele Ayotunde can be contacted via phone (843) 674-2500.Contact Information
Primary practice address
805 Pamplico Hwy
Florence SC 29505-6047
Phone: (843) 674-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 064745 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 244096 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 81916 | South Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 58481 | Tennessee |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 064745 | Georgia |
Profile Details
| NPI number | 1669644589 |
|---|---|
| LBN Legal business name | Ajibola, Bamidele Ayotunde |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Mar 5th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669644589 | NPPES |
| South Carolina | MEDICAID | NC4397 |
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