Individual provider · NPI-1

Douglas Adkisson, MD

Hospitalist · Greeneville, TN

NPI number1902953896

StatusActive

Last updated in NPPESJun 18, 2015

Details

NPI: 1902953896
Entity type: Individual (NPI-1)
Name: Douglas Adkisson
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jan 4, 2007
Last updated: Jun 18, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208M00000X	Hospitalist	42193	TN	Yes
207R00000X	Internal Medicine	42193	TN
207RC0000X	Internal Medicine, Cardiovascular Disease	42193	TN

Practice location

401 Takoma Ave
Greeneville, TN 37743-4647

Phone 423-278-1743 · Fax 423-278-1930

Mailing address

Po Box 1869
Attn: Danielle Bolick, Provider Enrollment
Fletcher, NC 28732-1869

Phone 828-687-5616 · Fax 828-650-8076

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