Adams, Audie Macon
Adams, Audie Macon is an sole proprietor health care provider with primary practice located at 440 Gwen Rd , Senatobia MS 38668-6362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Adams, Audie Macon can be contacted via phone (662) 562-8720.Contact Information
Primary practice address
440 Gwen Rd
Senatobia MS 38668-6362
Phone: (662) 562-8720
Fax: (662) 562-0054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04949 | Mississippi |
Profile Details
| NPI number | 1811074511 |
|---|---|
| LBN Legal business name | Adams, Audie Macon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1811074511 | NPPES |
| Mississippi | MEDICAID | 00118140 |
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