Individual
MARK A ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
957 BAXTER STREET, ATHENS, GA 30606
(706) 549-4999
(706) 549-0410
Mailing address
957 BAXTER STREET, ATHENS, GA 30606
(706) 549-4999
(706) 549-0410
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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