Individual
MS. ADRINE SUE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(855) 903-0985
Mailing address
PO BOX 2564, MACON, GA 31203-2564
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2023050141
MO
367500000X
Certified Registered Nurse Anesthetist
R044170
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649230970
TRICARE
GA
05
—
743129789D
—
GA
Enumeration date
03/23/2006
Last updated
02/12/2024
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