Adames, Simon

Adames, Simon is an individual health care provider with primary practice located at 3386 Greystone Way , Valdosta GA 31605-1096. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Adames, Simon can be contacted via phone (229) 219-7407.

Contact Information

Primary practice address
3386 Greystone Way Valdosta GA 31605-1096
Phone: (229) 219-7407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 045155 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 45155 Georgia

Profile Details

NPI number 1205804622
LBN Legal business name Adames, Simon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 3rd, 2011 - about 14 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 1205804622 NPPES
Other 930071441 RAILROAD MEDICARE
Other 598745 RAILROAD MEDICARE
MEDICAID 000804328E RAILROAD MEDICARE
MEDICAID 254800300 RAILROAD MEDICARE

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