Individual
OLUMIDE IBRAHIM ANIFOWOSHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 STONECREST BLVD, SMYRNA, TN 37167-6810
(615) 768-2000
(615) 768-2707
Mailing address
200 STONECREST BLVD, SMYRNA, TN 37167-6810
(615) 768-2000
(615) 768-2707
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
37852
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38892822
—
TN
Enumeration date
05/24/2006
Last updated
09/03/2008
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