Medogun Pa
Pediatric Adolescent Medicine
Medogun Pa is a Columbia, South Carolina based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Medogun Pa is doing business as
Milestones Pediatrics.
It is located at
120 Wildewood Park Dr, Suite B, Columbia, South Carolina - 29223-4300. They can be contacted on phone at
803-788-7882 and fax number 803-788-7818.
NPI number (Unique professional ID) for Medogun Pa is
1376683391 which was assigned by NPPES on 07 Feb, 2007 and it was last updated on 22 Aug, 2020.
Medogun Pa license number is
21514 for Pediatrics Adolescent Medicine (2080A0000X) in South Carolina.
Medogun Pa specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Medogun Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Medogun Pa |
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| Other Name : | Milestones Pediatrics |
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Business Address:
Medogun Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 120 Wildewood Park Dr, Suite B
Columbia, SC, 29223-4300
United States |
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| Phone Number : | 803-788-7882 |
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| Fax Number : | 803-788-7818 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1376683391 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 07 Feb, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Mojibolaolayinka Solaja |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | MEDICAL DOCTOR |
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| Phone Number : | 803-788-7882 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medogun Pa are as mentioned. Primary taxonomy code for Medogun Pa is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 21514 | SC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 120 Wildewood Park Dr, Suite B
Columbia, SC, 29223-4300
United States |
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| Phone Number : | 803-788-7882 |
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| Fax Number : | 803-788-7818 |
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Business Location:
Patients can refer following map for directions to
Medogun Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.