Individual
DAVID W ADCOCK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1623 OLD OCILLA RD, TIFTON, GA 31794-4173
(229) 891-9131
(229) 891-9079
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 891-9131
(229) 891-9079
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
037460
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000596054A
—
GA
Enumeration date
11/22/2005
Last updated
01/06/2015
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