| Olufemi E Soyinka, MD | |
| 
					629 Nuckolls Rd, Bolivar, TN 38008-1599  | |
| (731) 658-3388 | |
| (731) 658-4079 | 
| Full Name | Olufemi E Soyinka | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 629 Nuckolls Rd, Bolivar, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568508448 | NPI | - | NPPES | 
| P00684728 | Other | TN | RR MEDICARE | 
| 4186909 | Other | TN | BCBS | 
| 30004592 | Medicaid | TN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 42451 (Tennessee) | Primary | 
| Entity Name | Carr, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548677610 PECOS PAC ID: 1850512153 Enrollment ID: O20160707000686  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Olufemi E Soyinka, MD 629 Nuckolls Rd, Bolivar, TN 38008-1599 Ph: (731) 658-3388  | Olufemi E Soyinka, MD 629 Nuckolls Rd, Bolivar, TN 38008-1599 Ph: (731) 658-3388  | 
Judith Anne Tessema,  Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388  | |
Dr. Robert Wayne Dunavant, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-7111 Fax: 731-658-4328  | |
Dr. John Lee Blankenship, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079  | |
Dr. Samuel Terry Johnson Jr., M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079  | |
Lawrence Diaz, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079  | |
Dr. Nithyananda Pakkala, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-6011 Fax: 731-658-9884  |