Individual
MR. BABAJIDE OGUNYOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
162 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5902
(865) 238-6161
(865) 238-6170
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0000030236
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q098293
—
TN
Enumeration date
03/21/2023
Last updated
12/15/2025
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