Individual
DR. AUDIE MACON ADAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 GWEN RD, SENATOBIA, MS 38668-6362
(662) 562-8720
(662) 562-0054
Mailing address
440 GWEN RD, SENATOBIA, MS 38668-6362
(662) 562-8720
(662) 562-0054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04949
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118140
—
MS
Enumeration date
11/01/2006
Last updated
07/09/2007
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