OrganizationActive
Medogun PA
NPI 1376683391 · Pediatric Adolescent Medicine Physician · Columbia, SC
Provider details
- NPI number
- 1376683391
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mojibola Solaja, Medical Doctor(803) 788-7882
- License
- 21514 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
120 Wildewood Park Dr
Suite B
Columbia, SC 29223-4300
Phone: (803) 788-7882
Fax: (803) 788-7818
Approximate (ZIP-level) locationGet directions
Mailing address
120 Wildewood Park Dr
Columbia, SC 29223-4300
Other names (DBA / former)
- Doing business as
- Milestones Pediatrics
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.