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Individual

BOBBY LESTER ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1300 25TH AVE, MERIDIAN, MS 39301-3916
(601) 483-6134
(601) 483-7247
Mailing address
1300 25TH AVE, MERIDIAN, MS 39301-3916
(601) 483-6134
(601) 483-7247

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
80041
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
730-15593
BLUE CROSS ALABAMA
MS
01
P00229484
MEDICARE RAILROAD
MS
Enumeration date
11/28/2006
Last updated
10/22/2007
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