Individual
DR. EZEKIEL OLADEJO ADETUNJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 MURRAY GUARD DR, JACKSON, TN 38305-3609
(731) 300-3168
(731) 300-3169
Mailing address
139 STONEBRIDGE BLVD, JACKSON, TN 38305-2040
(731) 300-3168
(731) 300-3169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
001924
GA
207Q00000X
Family Medicine Physician
Primary
44164
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002429
—
TN
Enumeration date
08/22/2007
Last updated
02/05/2020
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