Organization
TRENTON MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADENIKE FATOMOH ADEDEJI NP (NURSE PRACTITIONER)
(731) 855-3719
Entity
Organization
Contact information
Practice address
120 DAVY CROCKETT MALL, TRENTON, TN 38382-2934
(731) 855-3719
Mailing address
120 DAVY CROCKETT MALL, TRENTON, TN 38382-2934
(731) 855-3719
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
APN18036
TN
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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