Healthcare Provider Details

I. General information

NPI: 1801880737
Provider Name (Legal Business Name): JOHN T. ADEWUMI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 MURPHY AVE STE 220
NASHVILLE TN
37203-1894
US

IV. Provider business mailing address

2201 MURPHY AVE STE 220
NASHVILLE TN
37203-1894
US

V. Phone/Fax

Practice location:
  • Phone: 615-329-0494
  • Fax: 615-327-3467
Mailing address:
  • Phone: 615-329-0494
  • Fax: 615-327-3467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD0000035607
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD0000035607
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD35607
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD35607
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: