Adedapo M Oduwole (NPI# 1720139645, PAC ID# 2062550114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1720139645 |
| PAC ID by PECOS | 2062550114 |
| Professional Enrollment ID | I20091110000244 |
| Full Name | Adedapo M Oduwole |
| Organization Legal Name | MOFDAPS AND COMPANY |
| Address |
1203 48th Ave N Suite 202 Myrtle Beach SC 29577-5425 |
| Phone Number | 8434492576 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | ADDICTION MEDICINE |
| Group Practice PAC ID | 3678611720 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| 420049 | CONWAY MEDICAL CENTER |
| 420105 | MCLEOD LORIS HOSPITAL |
| 340141 | NEW HANOVER REGIONAL MEDICAL CENTER |
| 340008 | SCOTLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1203 48th Ave N, Suite 202, Myrtle Beach, SC 29577-5425 | 8434492576 | MOFDAPS AND COMPANY |
| Organization Legal Name | MOFDAPS AND COMPANY |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olapeju A Popoola | Physician Assistant | Mofdaps and Company | 1203 48th Ave N, Suite 202, Myrtle Beach, SC 29577-5425 |
| Street Address |
1203 48TH AVE N SUITE 202 |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29577-5425 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olapeju A Popoola | Physician Assistant | Mofdaps and Company | 1203 48th Ave N, Suite 202, Myrtle Beach, SC 29577-5425 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra Carnosso | Clinical Social Worker | Coastal Samaritan Counseling Center | 901 N Kings Hwy, Myrtle Beach, SC 29577 |
| Ronald K Reynolds | Emergency Medicine | Beach Urgent Care | 2510 N Kings Hwy, Myrtle Beach, SC 29577 |
| Andrew Sone | Clinical Social Worker | Coastal Samaritan Counseling Center | 901 N Kings Hwy, Myrtle Beach, SC 29577 |
| Melody Podraza | Clinical Social Worker | Coastal Samaritan Counseling Center | 901 N Kings Hwy, Myrtle Beach, SC 29577 |
| Lester C Robinette | Clinical Social Worker | Coastal Samaritan Counseling Center | 901 N Kings Hwy, Myrtle Beach, SC 29577 |
| Kathy T Heustess | Clinical Social Worker | Coastal Samaritan Counseling Center | 901 N Kings Hwy, Myrtle Beach, SC 29577 |
| Rubert Garland Chilton | Chiropractic | Chilton Chiropractic | 607 19th Ave N, Myrtle Beach, SC 29577-0607 |
| Rhiana Langley | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 |
| George W Rollins | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1303 38th N Ave, Myrtle Beach, SC 29577-1315 |
| Kerri J Mccoy | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 |
| Find all physicians in zip 29577 | |||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
| Specialty | PSYCHIATRY |
| City + Specialty | MYRTLE BEACH + PSYCHIATRY |
Please comment or provide details below to improve the information on Adedapo M Oduwole.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.