Provider Demographics
NPI:1881837219
Name:COATES, ADAM R (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:R
Last Name:COATES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4466 ELVIS PRESLEY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-7180
Mailing Address - Country:US
Mailing Address - Phone:901-344-7860
Mailing Address - Fax:901-396-9087
Practice Address - Street 1:4466 ELVIS PRESLEY BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-7180
Practice Address - Country:US
Practice Address - Phone:901-344-7860
Practice Address - Fax:901-396-9087
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000002253111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor