Individual provider · NPI-1

Alfred Osakpolor Aiyanyor, DO, MPH

Internal Medicine, Infectious Disease · Jackson, TN

NPI number1245790658
StatusActive
Last updated in NPPESJul 16, 2024

Details

NPI
1245790658
Entity type
Individual (NPI-1)
Name
Alfred Osakpolor Aiyanyor
Credential
DO, MPH
Sex
Male
Sole proprietor
No
Enumeration date
Mar 21, 2019
Certification date
Jul 10, 2024
Last updated
Jul 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0200X Internal Medicine, Infectious Disease5693TNYes
390200000X Student in an Organized Health Care Education/Training Program––
207R00000X Internal MedicineOT019079PA

Practice location

8 Medical Center Dr
Jackson, TN 38301-3947

Phone 405-473-8049 · Fax 731-660-8739

Mailing address

Jackson Madison County General Hospital
8 Medical Center Drive
Jackson, TN 38305

Phone 731-660-7971 · Fax 731-660-8739

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