Adams, Mark A

Adams, Mark A is an sole proprietor health care provider with primary practice located at 957 Baxter Street , Athens GA 30606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Adams, Mark A can be contacted via phone (706) 549-4999.

Contact Information

Primary practice address
957 Baxter Street Athens GA 30606
Phone: (706) 549-4999
Fax: (706) 549-0410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 048133 Georgia

Profile Details

NPI number 1568642767
LBN Legal business name Adams, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2007
Last updated Jun 3rd, 2009 - about 15 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 1568642767 NPPES
Georgia Other 048133 LICENCE NUMBER
Georgia MEDICAID 00856193A LICENCE NUMBER

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