MEDICARE: MR. MICHAEL A MCADOO M.D.

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	207Q00000X	Family Medicine Physician	MD09700	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811974611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL A MCADOO M.D.

Provider Business Mailing Address
First Line	:	6041 TELECOM DR
Second Line	:
City	:	MILAN
State	:	TN
Zip	:	38358-3448
Country	:	US
Telephone Number	:	731-686-1505
Fax Number	:	731-686-8174

Provider Business Practice Location Address
First Line	:	6041 TELECOM DR
Second Line	:
City	:	MILAN
State	:	TN
Zip	:	38358-3448
Country	:	US
Telephone Number	:	731-686-1505
Fax Number	:	731-686-8174

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	03/15/2010

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