Individual
DR. ADAM C MACEVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7424 US HIGHWAY 64, BARTLETT, TN 38133-3986
(901) 381-2800
Mailing address
7424 US HIGHWAY 64, BARTLETT, TN 38133-3986
(901) 381-2800
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36.003539
OH
213EP1101X
Primary Podiatric Medicine Podiatrist
36.003539
OH
213ES0000X
Sports Medicine Podiatrist
36.003539
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003539
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
DPM0000000705
TN
213ES0131X
Foot Surgery Podiatrist
36.003539
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526688
—
TN
01
—
36.003539
STATE LICENSE
OH
01
—
DPM0000000705
STATE LICENSE
TN
Enumeration date
10/01/2008
Last updated
11/17/2016
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