Individual
ANDY BAFI ADUSEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 BALL CAMP PIKE STE A, KNOXVILLE, TN 37921-3312
(865) 544-1550
(658) 544-1570
Mailing address
4320 BALL CAMP PIKE STE A, KNOXVILLE, TN 37921-3312
(865) 544-1550
(658) 544-1570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26627
OK
208600000X
Surgery Physician
26627
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56477
MEDICAL LICENSE
TN
Enumeration date
11/05/2008
Last updated
03/23/2018
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