Individual
DR. ADAM N LOURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 409, AUSTELL, GA 30106-6810
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
039160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000796177U
—
GA
05
—
000796177V
—
GA
05
—
000796177W
—
GA
05
—
000796177X
—
GA
05
—
000796177Y
—
GA
Enumeration date
05/26/2006
Last updated
02/13/2014
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