Individual
DR. SYLVESTER AGORUA NWEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 SANDSTONE CIR, JACKSON, TN 38305-2073
(731) 240-1695
(731) 240-1694
Mailing address
5 LAKE POINTE DR, JACKSON, TN 38305-8114
(862) 218-1451
(731) 337-4508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
53871
TN
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
53871
TN
2084P0800X
Psychiatry Physician
Primary
53871
TN
2084P0804X
Child & Adolescent Psychiatry Physician
53871
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020952
—
TN
Enumeration date
05/16/2013
Last updated
08/19/2025
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