Charicem Ventures Pllc

NPI #1750410296 in Trenton, Tennessee

Provider Information

NPI Number
1750410296
Entity Type
Organization
Organization Name
Charicem Ventures Pllc
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Mar 2, 2007
Last Updated
Jul 21, 2022

Practice Location

Address
120 DAVY CROCKETT MALL
ZIP Code
38382-2934
Phone
(731) 855-3719

Authorized Official

Name
DR. AYODELE ADELEKE OLUSANYA, M.D.
Title
PRESIDENT
Phone
(731) 855-3719

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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