Medogun PA
Medogun PA provides Psychiatry Physician services in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.
- Licensed in
- SC
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
120 Wildewood Park Dr Ste AColumbia, SC 29223-4300
Phone: (803) 788-7882
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 21075 (SC) |
|---|
Record details
| NPI number | 1730229683 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ayodele Ogunfowora — Medical Director · (803) 788-7882 |
| Other names | Medogun Psychiatric Associates |
| NPI enumerated | February 8, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 120 Wildewood Park Dr, Suite A, Columbia, SC 29223-4300 |
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Mr. Aziz Mohiuddin, MD
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