| NPI | 1831175603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFEMI O ODUNUSI Provider 615-666-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: TN MD024943) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2021-03-01 |