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
Fax: (912) 490-4674
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245580414 NPPES
Georgia MEDICAID 300027669B

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