Individual
LYDIA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
108 MEDICAL CENTER BLVD STE G-50, FAYETTEVILLE, TN 37334-2741
(931) 438-4111
Mailing address
108 MEDICAL CENTER BLVD STE G-50, FAYETTEVILLE, TN 37334-2741
(931) 438-4111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APM0000025471
TN
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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