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Individual

DR. OMONIYI YAKUBU ADEBISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DABFP

Contact information

Practice address
3030 COVINGTON PIKE, SUITE 100, MEMPHIS, TN 38128-5048
(901) 383-8889
(901) 383-2245
Mailing address
PO BOX 215, TALLAPOOSA, GA 30176-0215

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38880
TN
207VX0000X
Obstetrics Physician
38880
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3896669
TN
Enumeration date
05/05/2006
Last updated
10/01/2010
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