Adams, Judonn Theophilous
Adams, Judonn Theophilous is an individual health care provider with primary practice located at 120 Carnegie Pl Suite 104, Fayetteville GA 30214-7912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Adams, Judonn Theophilous can be contacted via phone (770) 460-5667.Contact Information
Primary practice address
120 Carnegie Pl Suite 104
Fayetteville GA 30214-7912
Phone: (770) 460-5667
Fax: (770) 460-6710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 033506 | Georgia |
Profile Details
| NPI number | 1285698480 |
|---|---|
| LBN Legal business name | Adams, Judonn Theophilous |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jul 5th, 2016 - about 9 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 | 1285698480 | NPPES |
| Georgia | MEDICAID | 000445068D |
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