Doctor Name: | MS. SUSAN GAIL ADAMS |
NPI Number: | 1003035734 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC |
License Number: | RN120409 |
Business Practice Address: | 1905 Barnett Shoals Rd Athens, GA - 306053625 |
Business Phone Number: | 7065427053 |
Business Fax Number: | |
Mailing Address: | 108 Dobbs Dr, ATHENS |
State: | GA |
Postal Code: | 306054637 |
Phone Number: | 7063544565 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN120409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |