Organization
DAVID W ADCOCK MD PLLC
Active
Other names
Aesthetic Plastic & Reconstructive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM ADCOCK M.D. (OWNER)
(423) 648-5525
Entity
Organization
Contact information
Practice address
251 N LYERLY ST, SUITE 200, CHATTANOOGA, TN 37404-2728
(423) 648-5525
(423) 648-5240
Mailing address
251 N LYERLY ST, SUITE 200, CHATTANOOGA, TN 37404-2728
(423) 648-5525
(423) 648-5240
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD0000020999
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305312874A
—
GA
01
—
4059237
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
Enumeration date
01/23/2009
Last updated
05/15/2009
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