Individual
REGINA A. ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO, LO
Contact information
Practice address
9333 PARKWEST BLVD., SUITE 103, KNOXVILLE, TN 37923
(423) 318-8824
(423) 318-2872
Mailing address
PO BOX 3264, MORRISTOWN, TN 37815-3264
(423) 318-8824
(423) 318-2872
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
ORT0000000024
TN
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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