Individual
MARK S. ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1406 W 5TH ST, SUITE 201, LONDON, KY 40741-1688
(606) 864-4137
(606) 878-6386
Mailing address
1406 W 5TH ST, SUITE 201, LONDON, KY 40741-1688
(606) 864-4137
(606) 878-6386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22682
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64226822
—
KY
Enumeration date
06/27/2006
Last updated
07/08/2007
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