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Individual

ADAM FALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 WESTSIDE DR NW, CLEVELAND, TN 37312-3501
(423) 339-4216
Mailing address
5751 UPTAIN RD, SUITE 100, CHATTANOOGA, TN 37411-4010
(423) 894-5466
(423) 424-3690

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
35125
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3862267
TN
01
4110561
BLUE CROSS BLUE SHIELD
TN
01
P00204781
RR MEDICARE
TN
Enumeration date
07/18/2005
Last updated
10/30/2007
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