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Individual

ANGELA D ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
120 E CARTER AVE, BLACKSHEAR, GA 31516-1561
(912) 449-4426
(912) 449-1059
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 621-0671

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
RN158173
GA
363L00000X
Nurse Practitioner
RN158173
GA
363LF0000X
Family Nurse Practitioner
Primary
RN158173
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300027669B
GA
Enumeration date
09/14/2012
Last updated
08/07/2024
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