MEDICARE: DR. WILLIAM KENDALL ADKISSON DC

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	3532	TN

General Provider Information

NPI Number	:	1174284764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM KENDALL ADKISSON DC

Provider Business Mailing Address
First Line	:	PO BOX 785
Second Line	:
City	:	SAVANNAH
State	:	TN
Zip	:	38372-0785
Country	:	US
Telephone Number	:	731-925-2225
Fax Number	:	731-925-2226

Provider Business Practice Location Address
First Line	:	635 WATER ST
Second Line	:
City	:	SAVANNAH
State	:	TN
Zip	:	38372-2442
Country	:	US
Telephone Number	:	731-925-2225
Fax Number	:	731-925-2226

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

Provider Enumeration Date	:	01/05/2022
Last Update Date	:	01/05/2022

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Directions to “ DR. WILLIAM KENDALL ADKISSON DC” Practice Location

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