Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 34.011377 | OH |
N | 208600000X | Surgeon | 34.011377 | OH |
Y | 2086S0129X | Vascular Surgeon | 201801995 | NC |
NPI | 1013210459 |
---|---|
Provider Name | Olufunsho Adamolekun |
First Address | Southern Pines, NC 28387-7224 |
Second Address | Pinehurst, NC 28374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2010 |
Last Update Date | 06/12/2018 |