Provider Demographics
NPI:1063974186
Name:ADAMS, PORCHE' WARREN (DO, MPH)
Entity type:Individual
Prefix:
First Name:PORCHE'
Middle Name:WARREN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 SPRING CREEK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-3994
Mailing Address - Country:US
Mailing Address - Phone:423-510-0250
Mailing Address - Fax:423-510-9524
Practice Address - Street 1:935 SPRING CREEK RD STE 100
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412-3994
Practice Address - Country:US
Practice Address - Phone:423-510-0250
Practice Address - Fax:423-510-9524
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5243207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology