Individual
DR. MARK ANTHONY ADAMS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
313 FEDERAL DR NW, SUITE 200, CORYDON, IN 47112-3070
(812) 738-4155
(812) 738-6104
Mailing address
313 FEDERAL DR NW, SUITE 200, CORYDON, IN 47112-3070
(812) 738-4155
(812) 738-6104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01075329A
IN
207Q00000X
Family Medicine Physician
32802
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201290880
—
IN
05
—
328024
—
SC
01
—
5689393
CIGNA
SC
Enumeration date
06/15/2010
Last updated
12/10/2020
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