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Individual

JOHN C ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
353 HIGHWAY 15 N, PONTOTOC, MS 38863-1103
(662) 490-1985
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-2023

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
10235
MS
207Q00000X
Family Medicine Physician
Primary
10235
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00017133
MS
05
0017133
MS
Enumeration date
08/30/2006
Last updated
03/17/2018
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