Individual
CHRISTINE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 LAKE ACWORTH DR NW, ACWORTH, GA 30101-7358
(770) 575-0679
Mailing address
137 DREAM CT, ACWORTH, GA 30102-1211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN204573
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204573
OUTPATIENT DETOX
GA
Enumeration date
10/27/2022
Last updated
12/16/2022
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