Provider Demographics
NPI:1508488800
Name:3 PLE O LLPC
Entity Type:Organization
Organization Name:3 PLE O LLPC
Other - Org Name:RBS HEALHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUFEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUNUSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-406-8891
Mailing Address - Street 1:209 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37083-1701
Mailing Address - Country:US
Mailing Address - Phone:615-406-8891
Mailing Address - Fax:615-666-3488
Practice Address - Street 1:165 DALE ST
Practice Address - Street 2:
Practice Address - City:RED BOILING SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37150-2102
Practice Address - Country:US
Practice Address - Phone:615-699-3169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty