Adams, Michael Stephan

Adams, Michael Stephan is an individual health care provider with primary practice located at 2400 Mount Zion Pkwy Kaiser Permanente Southwood Medical Center, Jonesboro GA 30236-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Adams, Michael Stephan can be contacted via phone (770) 603-3668.

Contact Information

Primary practice address
2400 Mount Zion Pkwy Kaiser Permanente Southwood Medical Center Jonesboro GA 30236-2500
Phone: (770) 603-3668
Fax: (404) 564-6734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 034102 Georgia

Profile Details

NPI number 1629062195
LBN Legal business name Adams, Michael Stephan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jan 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629062195 NPPES
Georgia MEDICAID 000503566A

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