Organization
AMEN CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZEKIEL O ADETUNJI MD (OWNER)
(731) 300-3168
Entity
Organization
Contact information
Practice address
150 MURRAY GUARD DR, JACKSON, TN 38305
(731) 300-3168
(731) 300-3169
Mailing address
PO BOX 12485, JACKSON, TN 38308-0143
(731) 300-3168
(731) 300-3169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2012
Last updated
06/27/2018
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