Individual
OLAIDE IFELOLA AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
776 WEATHERLY DR, SUITE A, CLARKSVILLE, TN 37043-8941
(931) 906-2004
(931) 906-2009
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(931) 906-2004
(931) 906-2009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0066606
MD
207RH0003X
Hematology & Oncology Physician
Primary
48841
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102101696-0001
—
PA
05
—
3810010307
—
WV
05
—
413550400
—
MD
01
—
P00461544
TRAVELERS MEDICARE
MD
Enumeration date
10/17/2007
Last updated
07/27/2012
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