Individual
DR. KOFFI AMEGBO AMEGADJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5202 MURFREESBORO RD, LA VERGNE, TN 37086-2714
(615) 793-3784
Mailing address
5202 MURFREESBORO RD, LA VERGNE, TN 37086-2714
(615) 793-3784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44887
TN
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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