Adam Blake Cowan-Banker

Individual provider Active NPI Case Manager/Care Coordinator · Powell, TN

NPI 1508344904 · NPPES record last updated Jul 30, 2018

Key facts

NPI
1508344904
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
7714 Conner Rd Ste 105
Powell, TN 37849-3559
Phone
(865) 947-6220
Fax
(865) 512-1069
NPI assigned
Jul 30, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

7714 Conner Rd Ste 105
Powell, TN 37849-3559

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344

Other names

  • Blake Cowan-Banker Other name

Other providers in Powell, TN

All providers in Powell, TN · Case Manager/Care Coordinator in Tennessee

Sources for this page

Verify at the official NPI Registry.