Individual
SIMON ADAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3386 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 219-7407
Mailing address
3386 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 219-7826
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
45155
GA
207R00000X
Internal Medicine Physician
Primary
045155
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000804328E
—
GA
05
—
254800300
—
FL
01
—
598745
BLUE CROSS BLUE SHIELD
GA
01
—
930071441
RAILROAD MEDICARE
—
Enumeration date
03/10/2006
Last updated
11/03/2011
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