Individual
DR. BABAJIDE BAMIGBOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2031 ANTIOCH PIKE, ANTIOCH, TN 37013
(615) 781-2080
(615) 781-0310
Mailing address
2031 ANTIOCH PIKE, ANTIOCH, TN 37013
(615) 781-2080
(615) 781-0310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017110
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031032
—
TN
Enumeration date
10/24/2006
Last updated
12/31/2011
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