Dr AYODELE A OLUSANYA MD is a male medical professional, specializing in Internal Medicine. He graduated in 2003 from Meharry Medical College School Of Medicine.
FORKED DEER RIVER INPATIENT SERVICES, PLLC
400 E TICKLE ST
DYERSBURG
TN
380243120
Tel: 7312852410
| Npi | 1932155868 |
| Pac Id | 2163336264 |
| Professional Enrollment Id | I20031113000449 |
| Last Name | OLUSANYA |
| First Name | AYODELE |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | EMERGENCY MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | EMERGENCY MEDICINE |
| Organization Legal Name | FORKED DEER RIVER INPATIENT SERVICES, PLLC |
| Group Practice Pac Id | 0840426961 |
| Number Of Group Practice Members | 12 |
| Line 1 Street Address | 400 E TICKLE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DYERSBURG |
| State | TN |
| Zip Code | 380243120 |
| Phone Number | 7312852410 |
| Hospital Affiliation Ccn 1 | 440072 |
| Hospital Affiliation Lbn 1 | DYERSBURG REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 440002 |
| Hospital Affiliation Lbn 2 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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