SearchSouth Carolina207R00000X

Omolola Omotoso, MD

NPI 1154514529 · on the registry since 2007

Practice

Address
110 Executive Parkway
Moncks Corner, SC 29461
Phone
(843) 899-9099
Fax
(843) 899-9091
Organisation at this address
Hope Clinic
Liberty Doctors Llc
Fetter Health Care Network, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 3015 N Ballas Rd, Saint Louis, MO
  • 1101 W Liberty St, Farmington, MO

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
207R00000X
208M00000X
Licence states on file
PA, SC, MO, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina