Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | MD35661 | AL |
NPI | 1659637684 |
---|---|
Provider Name | Dr. Austin Adams |
First Address | Mountain Brk, AL 35223-2445 |
Second Address | Mountain Brk, AL 35223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2012 |
Last Update Date | 15/08/2018 |