Organization
GOODLIFE MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUGBENGA ADEBANJO MD (PRESIDENT)
(901) 685-1994
Entity
Organization
Contact information
Practice address
756 RIDGE LAKE BLVD, SUITE 228, MEMPHIS, TN 38120-9420
(901) 685-1994
(901) 685-1997
Mailing address
PO BOX 172126, MEMPHIS, TN 38187-2126
(901) 685-1994
(901) 685-1997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37598
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3726671
—
TN
Enumeration date
01/22/2007
Last updated
09/20/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us