Individual
BOLANLE A ASIYANBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4140 FERNCREEK DR, SUITE 601, FAYETTEVILLE, NC 28314-2563
(910) 485-3880
(910) 485-5341
Mailing address
1005 DR DB TODD JR BLVD, NASHVILLE, TN 37208-3501
(615) 327-5944
(615) 327-5597
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
256906
MA
208600000X
Surgery Physician
Primary
59311
TN
208600000X
Surgery Physician
D64664
MD
Other
Enumeration date
07/15/2006
Last updated
07/17/2019
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