Individual
DR. JUDONN THEOPHILOUS ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 CARNEGIE PL, SUITE 104, FAYETTEVILLE, GA 30214-7912
(770) 460-5667
(770) 460-6710
Mailing address
5536 FLAT SHOALS PKWY, SUITE A, DECATUR, GA 30034-5408
(678) 518-9691
(678) 518-9692
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
033506
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000445068D
—
GA
Enumeration date
04/14/2006
Last updated
07/05/2016
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