Individual
TIMOTHY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
125 DECATUR ST SE, ATLANTA, GA 30303-3201
(404) 413-4177
Mailing address
PO BOX 3975, ATLANTA, GA 30302-3975
(404) 413-4177
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
GA
Other
Enumeration date
01/31/2014
Last updated
03/11/2019
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