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NPI Code Detail

MEDICARE: DR. AKINWANDE OLUMIDE ERINLE M.D.

MEDICARE:  DR. AKINWANDE OLUMIDE ERINLE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD025188TN

Other Identifiers

General Provider Information

NPI Number : 1427080621
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AKINWANDE OLUMIDE ERINLE M.D.
Provider Business Mailing Address
First Line : PO BOX 25185
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37422-5185
Country : US
Telephone Number : 423-499-6400
Fax Number : 423-899-3438
Provider Business Practice Location Address
First Line : 103 JORDAN DR
Second Line : SUITE 3
City : CHATTANOOGA
State : TN
Zip : 37421-6715
Country : US
Telephone Number : 423-499-6400
Fax Number : 423-899-3438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 07/08/2007

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Directions to “ DR. AKINWANDE OLUMIDE ERINLE M.D.” Practice Location

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