Provider Demographics
NPI:1518196070
Name:ISBELL, ADAM DWIGHT (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:DWIGHT
Last Name:ISBELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 AVALON AVE
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-3187
Mailing Address - Country:US
Mailing Address - Phone:256-386-0808
Mailing Address - Fax:256-381-6229
Practice Address - Street 1:2400 AVALON AVE
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661
Practice Address - Country:US
Practice Address - Phone:256-386-0808
Practice Address - Fax:256-381-6229
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-2267207R00000X, 208M00000X
ALMD.36851207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MST-2267OtherSTATE MEDICAL TRAINING LICENSE