Adam, Jessica

Adam, Jessica is an individual health care provider with primary practice located at 2124 Candler Rd , Decatur GA 30032-5572. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Adam, Jessica can be contacted via phone (404) 836-0272.

Contact Information

Primary practice address
2124 Candler Rd Decatur GA 30032-5572
Phone: (404) 836-0272
Fax: (404) 836-0272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 077346 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101236156 Virginia

Profile Details

NPI number 1366478307
LBN Legal business name Adam, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 21st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366478307 NPPES
Virginia MEDICAID 036833400

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