Provider Demographics
NPI:1508334129
Name:ADO INC.
Entity Type:Organization
Organization Name:ADO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-259-8661
Mailing Address - Street 1:951 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:TAZEWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37879-4323
Mailing Address - Country:US
Mailing Address - Phone:423-259-8661
Mailing Address - Fax:423-259-8662
Practice Address - Street 1:951 N BROAD ST
Practice Address - Street 2:
Practice Address - City:TAZEWELL
Practice Address - State:TN
Practice Address - Zip Code:37879-4323
Practice Address - Country:US
Practice Address - Phone:423-259-8661
Practice Address - Fax:423-259-8662
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADO INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-13
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty