Organization
ROZA K ADAMCZYK MD PC
Active
Parent organization
ROZA K ADAMCZYK MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROZA K ADAMCZYK MD PC
Authorized official
LUBA K ARONSON M.D. (OFFICE MANAGER)
(770) 227-1102
Entity
Organization
Contact information
Practice address
106 GOVERNORS SQ, SUITE B, FAYETTEVILLE, GA 30215-4805
(770) 486-8065
(770) 227-3082
Mailing address
618 S 8TH ST STE D, GRIFFIN, GA 30224-4251
(770) 227-1102
(770) 227-3082
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
029568
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00347234B
—
GA
05
—
00347234G
—
GA
01
—
10058864
AMERIGROUP - MEDICAID
GA
01
—
1020061
CIGNA
GA
01
—
11363
UNITED HEALTHCARE
GA
01
—
117715
PEACHSTATE - MCAID
GA
01
—
21003404108
BEECHSTREET
GA
01
—
2339303
AETNA - HMO
GA
01
—
328469
WELLCARE - MEDICAID
GA
01
—
4567388
AETNA- PPO
GA
01
—
52239078001
BLUE CROSS BLUE SHILE
GA
01
—
52239078002
BLUE CROSS BLUE SHIELD
GA
Enumeration date
12/04/2007
Last updated
12/04/2007
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