Individual
MR. ADAM STANTON FOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
1968 PEACHTREE ROAD NW, ATLANTA, GA 30309-8221
(678) 216-0771
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10631
GA
367H00000X
Anesthesiologist Assistant
PENDING
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
05/25/2021
Last updated
06/26/2023
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