Individual
DR. ADEYINKA ADEBAYO AGBETOYIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2968 NORTH HIGHLAND AVE, JACKSON, TN 38305
(731) 256-1819
(731) 664-4330
Mailing address
2968 NORTH HIGHLAND AVENUE, SUITE A, JACKSON, TN 38305-3609
(731) 256-1819
(731) 664-4330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36918
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4160707
BLUE CROSS BLUE SHIELD
TN
01
—
41719
TLC
TN
01
—
7638433
AETNA
—
01
—
87726
UNITED HEALTH
TN
01
—
P00440784
RAILROAD MEDICARE
TN
Enumeration date
06/06/2006
Last updated
04/28/2024
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