Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 27018 | NE |
N | 208D00000X | General Practice Physician | 27018 | NE |
NPI | 1023307865 |
---|---|
Provider Name | Ashley Nicole Adams |
First Address | Montgomery, AL 36112 |
Second Address | Montgomery, AL 36112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2011 |
Last Update Date | 13/07/2021 |