Individual
ADURAGBEMI BABAJIDE OKIJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8245
(423) 869-3611
Mailing address
203 OLD JACKSBORO PIKE APT C, CUMBERLAND GAP, TN 37724-4497
(443) 518-6693
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R248884
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1053877
DC
Other
Enumeration date
03/01/2022
Last updated
02/12/2024
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