MEDICARE: DR. ADAM R COATES D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC0000002253	TN

General Provider Information

NPI Number	:	1881837219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM R COATES D.C.

Provider Business Mailing Address
First Line	:	4466 ELVIS PRESLEY BLVD
Second Line	:	SUITE 200
City	:	MEMPHIS
State	:	TN
Zip	:	38116-7180
Country	:	US
Telephone Number	:	901-344-7860
Fax Number	:	901-396-9087

Provider Business Practice Location Address
First Line	:	4466 ELVIS PRESLEY BLVD
Second Line	:	SUITE 200
City	:	MEMPHIS
State	:	TN
Zip	:	38116-7180
Country	:	US
Telephone Number	:	901-344-7860
Fax Number	:	901-396-9087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2009
Last Update Date	:	04/15/2009

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