Individual
MATTHEW DOUGLAS ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, OTC
Contact information
Practice address
3 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6529
(423) 434-6300
(423) 434-6312
Mailing address
3 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6529
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1146
SC
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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