Provider Demographics
NPI:1902870421
Name:SCOLES, ANDREW DOW (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DOW
Last Name:SCOLES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7555 OAK RIDGE HWY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-3342
Mailing Address - Country:US
Mailing Address - Phone:865-531-8025
Mailing Address - Fax:865-531-6480
Practice Address - Street 1:7555 OAK RIDGE HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-3342
Practice Address - Country:US
Practice Address - Phone:865-531-8025
Practice Address - Fax:865-531-6480
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1865111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU93102Medicare UPIN
TN3972936Medicare ID - Type Unspecified