Individual
MARK A ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
048133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00856193A
—
GA
01
—
048133
LICENCE NUMBER
GA
Enumeration date
11/06/2007
Last updated
06/03/2009
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