Individual
DR. JESSICA ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2124 CANDLER RD, DECATUR, GA 30032-5572
(404) 836-0272
(404) 836-0272
Mailing address
1395 NW 167 STREET, PAYER ENROLLMENT, MIAMI GARDENS, FL 33169
(305) 628-6117
(305) 831-4736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
077346
GA
208M00000X
Hospitalist Physician
Primary
0101236156
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036833400
—
VA
Enumeration date
06/23/2006
Last updated
02/21/2018
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