Individual
MR. MICHAEL STEPHAN ADAMS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236-2500
(770) 603-3668
(404) 564-6734
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034102
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000503566A
—
GA
Enumeration date
09/09/2005
Last updated
01/13/2022
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