Adkisson, Douglas
Adkisson, Douglas is an individual health care provider with primary practice located at 401 Takoma Ave , Greeneville TN 37743-4647. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Adkisson, Douglas can be contacted via phone (423) 278-1743.Contact Information
Primary practice address
401 Takoma Ave
Greeneville TN 37743-4647
Phone: (423) 278-1743
Fax: (423) 278-1930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42193 | Tennessee |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 42193 | Tennessee |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 42193 | Tennessee |
Profile Details
| NPI number | 1902953896 |
|---|---|
| LBN Legal business name | Adkisson, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jun 18th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902953896 | NPPES |
| Tennessee | Other | 4309055 | BCBST |
| Tennessee | MEDICAID | 3001417 | BCBST |
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