IndividualActive
Adewale Odukoya, MD
NPI 1902268550 · Emergency Medicine Physician · Jackson, TN
Provider details
- NPI number
- 1902268550
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 56635 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
294 Summar Dr
Jackson, TN 38301-3915
Phone: (731) 423-1932
Fax: (731) 410-0367
Approximate (ZIP-level) locationGet directions
Mailing address
294 Summar Dr
Jackson, TN 38301-3915
Registry dates
- Enumerated
- 2016-03-23
- Last updated
- 2024-01-19
- Certified
- 2024-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.