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Individual

CLATES P ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
207P00000X
Emergency Medicine Physician
Primary
112650
GA
208D00000X
General Practice Physician
Primary
0102208138
VA

Other

Enumeration date
05/26/2022
Last updated
06/27/2026
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