Individual
KELLY MARIE ADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 MEDICAL CENTER BLVD, DEPARTMENT OF PATHOLOGY, LAWRENCEVILLE, GA 30046-7694
(678) 312-4526
Mailing address
PO BOX 1686, INDIANAPOLIS, IN 46206-1686
(800) 346-1181
(706) 232-0156
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
000817
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52227961
BCBS
GA
05
—
757333564A
—
GA
Enumeration date
12/20/2007
Last updated
08/31/2016
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