Individual
MS. IRIS MARIA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8198 CHICAGO AVE, DOUGLASVILLE, GA 30134-1106
(678) 923-1351
Mailing address
8198 CHICAGO AVE, DOUGLASVILLE, GA 30134-1106
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310893-031
WI
164W00000X
Licensed Practical Nurse
LPN085449
GA
171M00000X
Case Manager/Care Coordinator
LPN085449
GA
374U00000X
Home Health Aide
LPN085449
GA
Other
Enumeration date
10/23/2009
Last updated
10/12/2012
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