Individual
DR. TIMOTHY ADAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(843) 792-1414
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00026609
AL
207L00000X
Anesthesiology Physician
Primary
85467
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
26609
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145581
—
AL
05
—
145598
—
AL
01
—
511-32914
BLUE CROSS
AL
01
—
511-32918
BLUE CROSS
AL
Enumeration date
05/20/2006
Last updated
11/03/2021
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