Provider Demographics
NPI:1386673978
Name:ADAMS, DAVID LEE (ATC EMT)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LEE
Last Name:ADAMS
Suffix:
Gender:M
Credentials:ATC EMT
Other - Prefix:
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Mailing Address - Street 1:1410 NEELYS BEND RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-5608
Mailing Address - Country:US
Mailing Address - Phone:615-860-4356
Mailing Address - Fax:
Practice Address - Street 1:1410 NEELYS BEND RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-5608
Practice Address - Country:US
Practice Address - Phone:615-860-4356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000005026146N00000X
TN0000322255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer