Charles R. Adcock, Mdpc

LBN: Charles R. Adcock, Mdpc
Charles R. Adcock, Mdpc is an health care organization with primary practice located at 520 E 12Th St , South Pittsburg TN 37380-1633. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Charles R. Adcock, Mdpc can be contacted via phone (423) 837-7144, or through Burrows, Terry Lea via phone (423) 837-7144.

Contact Information

Primary practice address
520 E 12Th St South Pittsburg TN 37380-1633
Phone: (423) 837-7144
Fax: (423) 837-8428
Website:
Map and Directions
Authorized official contact:
Name: Burrows, Terry Lea
Phone: (423) 837-7144

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD011688 Tennessee

Profile Details

NPI number 1649460213
LBN Legal business name Charles R. Adcock, Mdpc
DBA Doing business as
Authorized official Burrows, Terry Lea
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2007
Last updated Jan 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649460213 NPPES
Tennessee Other C10664 MEDICARE RAILROAD
Tennessee MEDICAID 3723335 MEDICARE RAILROAD

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