Organization
MACON COMMUNITY FAMILY HEALTHCARE GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUFEMI ODUNUSI (CEO)
(615) 666-2056
Entity
Organization
Contact information
Practice address
209 COLLEGE ST, LAFAYETTE, TN 37083-1701
(615) 666-2056
(615) 666-3022
Mailing address
209 COLLEGE ST, LAFAYETTE, TN 37083-1701
(615) 666-2056
(615) 666-3022
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NONE
—
Enumeration date
08/12/2021
Last updated
08/12/2021
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