Healthcare Provider Details

I. General information

NPI: 1689628406
Provider Name (Legal Business Name): ADAM P ENGLISH D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2290 N WASHINGTON AVE
BROWNSVILLE TN
38012-1607
US

IV. Provider business mailing address

18 DEEPWOOD DR
JACKSON TN
38305-9679
US

V. Phone/Fax

Practice location:
  • Phone: 731-772-5183
  • Fax:
Mailing address:
  • Phone: 731-343-1186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO1750
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: