Healthcare Provider Details

I. General information

NPI: 1114360567
Provider Name (Legal Business Name): SYLVIA IFEYINWA ANUNOBI MD, MSPH, JD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IFEYINWA SYLVIA ONYENSOH MD

II. Dates (important events)

Enumeration Date: 04/15/2013
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2372 CEDAR ST
MC KENZIE TN
38201-2218
US

IV. Provider business mailing address

2325 DICKERSON PIKE UNIT 70165
NASHVILLE TN
37207-4572
US

V. Phone/Fax

Practice location:
  • Phone: 731-388-8422
  • Fax:
Mailing address:
  • Phone: 703-962-0595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberMD0000056836
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberC1747
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD0000056836
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: