Healthcare Provider Details

I. General information

NPI: 1669556148
Provider Name (Legal Business Name): ADEJOKE FOLUKE AINA-BABALOLA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ADEJOKE FOLUKE BABALOLA M.D.

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6716 NOLENSVILLE PIKE SUITE 240
BRENTWOOD TN
37027-8805
US

IV. Provider business mailing address

6716 NOLENSVILLE PIKE SUITE 240
BRENTWOOD TN
37027-8805
US

V. Phone/Fax

Practice location:
  • Phone: 615-283-3524
  • Fax: 615-283-3950
Mailing address:
  • Phone: 615-283-3524
  • Fax: 615-283-3950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number34521
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34521
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number34521
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: