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Individual

JOHN ROBERT ADAMS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1325 WOLF PARK DR, SUITE 102, GERMANTOWN, TN 38138-1742
(901) 252-3400
(901) 763-4305
Mailing address
1325 WOLF PARK DR, SUITE 103, GERMANTOWN, TN 38138-1742
(901) 252-3411
(901) 763-4305

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
15870
MS
208800000X
Urology Physician
Primary
16559
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0108491
BLUE CROSS
TN
01
0108491
TENNCARE SELECT
01
02110025800
QUAL CHOICE
01
13023659
HEALTH ASSURANCE EPA
01
211159
SOUTHERN HEALTH SERVICES
01
2598232
CIGNA
01
274456
HEALTHLINK
01
3050118
TENNCARE (ALL OTHER PLANS
05
3050118
TN
01
4131368
AETNA
01
97432
BLUE CROSS AR
AR
01
FIRST HEALTH
833190
Enumeration date
05/01/2006
Last updated
11/03/2016
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