MEDICARE: DR. ADAM M CHILDS 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	743085138	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	:	1992978845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM M CHILDS M.D.

Provider Business Mailing Address
First Line	:	2933 MEDICAL CENTER PKWY
Second Line	:	SUITE A
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-2276
Country	:	US
Telephone Number	:	615-890-1455
Fax Number	:	615-890-1674

Provider Business Practice Location Address
First Line	:	2933 MEDICAL CENTER PKWY
Second Line	:	SUITE A
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-2276
Country	:	US
Telephone Number	:	615-890-1455
Fax Number	:	615-890-1674

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

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	01/14/2022

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