Adams, Angela D
Adams, Angela D is an individual health care provider with primary practice located at 1706 Alice St , Waycross GA 31501-5216. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Adams, Angela D can be contacted via phone (912) 490-4673.Contact Information
Primary practice address
1706 Alice St
Waycross GA 31501-5216
Phone: (912) 490-4673
Fax: (912) 490-4674
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | RN158173 | Georgia |
Profile Details
NPI number | 1245580414 |
---|---|
LBN Legal business name | Adams, Angela D |
Credentials | NPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2012 |
Last updated | Aug 4th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245580414 | NPPES |
Georgia | MEDICAID | 300027669B |
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