Individual
MR. JON E ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PA-154
AL
363A00000X
Physician Assistant
PA.154
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000044791
—
AL
01
—
051044791
BLUE CROSS NUMBER
AL
01
—
1568420628
NPI
AL
Enumeration date
05/01/2006
Last updated
04/04/2019
Update your record
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