Individual
DR. REMILEKUN SUBEDAT ADESOJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
8412 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5140
(662) 536-2100
(662) 536-2211
Mailing address
PO BOX 1078, SOUTHAVEN, MS 38671-0011
(662) 536-2100
(662) 536-2211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16591
MS
208000000X
Pediatrics Physician
MD0000035865
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01724394
—
MS
Enumeration date
07/23/2006
Last updated
10/30/2010
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