Individual
DR. ADAM NICHOLAS PROTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
(601) 815-0434
Mailing address
504 CLINTON CENTER DRIVE, CBO - SUITE 4300, CLINTON, MS 39056-5610
(601) 496-9794
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25068
MS
208600000X
Surgery Physician
4301096532
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
323150
LA
Other
Enumeration date
08/11/2010
Last updated
02/05/2025
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