Organization · NPI-2
Ado INC.
Family Medicine · Tazewell, TN
NPI number1508334129
StatusActive
Last updated in NPPESFeb 2, 2024
Details
- NPI
- 1508334129
- Entity type
- Organization (NPI-2)
- Legal business name
- Ado INC.
- Organization subpart
- Yes
- Enumeration date
- Nov 13, 2018
- Certification date
- Feb 2, 2024
- Last updated
- Feb 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
951 N Broad StTazewell, TN 37879-4323
Phone 423-259-8661 · Fax 423-259-8662
Mailing address
951 N Broad StTazewell, TN 37879-4323
Phone 423-259-8661 · Fax 423-259-8662
Other practice locations
2975 Maynardville Hwy
Maynardville, TN 37807
Maynardville, TN 37807
Phone 423-259-8661 · Fax 423-259-8662
Authorized official
Daniel Lewis Martin
Ceo
4232598661
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