Individual
ANGELA ADKISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
988 OAK RIDGE TPKE STE 140, OAK RIDGE, TN 37830-6919
(865) 483-7415
(865) 483-7980
Mailing address
988 OAK RIDGE TPKE STE 140, OAK RIDGE, TN 37830-6919
(865) 483-7415
(865) 483-7980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
796
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3669713
—
TN
Enumeration date
10/05/2006
Last updated
06/05/2019
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