Individual
FUNMINIYI ANNE AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5306
(601) 984-6904
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5306
(601) 984-6904
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
036136786
IL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
24577
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036136786
—
IL
05
—
06877361
—
MS
05
—
195545
—
AL
05
—
2971502
—
OH
05
—
756135100
—
MN
Enumeration date
12/14/2005
Last updated
09/06/2024
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