Individual
JAMES ADISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 MESA VALLEY WAY APT 302, AUSTELL, GA 30106-8166
(470) 886-1194
Mailing address
2105 MESA VALLEY WAY APT 302, AUSTELL, GA 30106-8166
(470) 886-1194
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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