Individual
ADAM WEEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 STRONG AVE STE A, GREENWOOD, MS 38930-3923
(662) 453-6243
Mailing address
1705 STRONG AVE STE A, GREENWOOD, MS 38930-3923
(662) 453-6243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3107-99
MS
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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