Individual
ADAM ISAAC HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
979 E 3RD ST STE C735, CHATTANOOGA, TN 37403-3310
(423) 778-9101
(423) 778-9190
Mailing address
979 E 3RD ST STE C735, CHATTANOOGA, TN 37403-3310
(423) 778-9101
(423) 778-9190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2177
TN
363A00000X
Physician Assistant
PA1992
ME
363A00000X
Physician Assistant
—
GA
363AM0700X
Medical Physician Assistant
Primary
2177
TN
Other
Enumeration date
08/23/2011
Last updated
02/01/2021
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