Individual
DR. STEPHEN RANDALL ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 ALICE ST, WAYCROSS, GA 31501-6210
(912) 283-8444
Mailing address
PO BOX 173, WAYCROSS, GA 31502-0173
(912) 283-8444
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21934
GA
207X00000X
Orthopaedic Surgery Physician
282871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000264063E
—
GA
Enumeration date
06/25/2007
Last updated
05/24/2016
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