Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | MD5026778 | TN |
NPI | 1003880493 |
---|---|
Provider Name | John Sindos Adams SR. |
First Address | Chattanooga, TN 37412-3974 |
Second Address | Chattanooga, TN 37412-3974 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3803684 | (05) | TN |
G31194 | (02) |