Individual
DANIEL J ADKISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
219 CHURCH ST, DICKSON, TN 37055-1303
(615) 446-0522
(615) 446-4737
Mailing address
PO BOX 711, DICKSON, TN 37056-0711
(615) 446-0522
(615) 446-4737
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
77
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725526
—
TN
01
—
4078391
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/26/2006
Last updated
12/11/2012
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