Individual
DOMINIC ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6925
Mailing address
2503 COLONY PARK DR, PEARL, MS 39208-6403
(757) 880-9265
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
T-4272
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/25/2021
Last updated
07/27/2021
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