Clarence Lee Adams Jr., RN
Individual provider Active NPI Administrator Registered Nurse · Duluth, GA
NPI 1598812166 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598812166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Administrator Registered Nurse 163WA2000X
- License
- RN146216 (GA)
- Practice address
- 10670 Medlock Bridge Rd
Duluth, GA 30097-8404 - Phone
- (770) 814-0323
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN146216 | GA | MD | Administrator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN146216 | GA | Yes |
Addresses
Primary practice location
10670 Medlock Bridge Rd
Duluth, GA 30097-8404
Mailing address
155 Thistlewood LN
Roswell, GA 30075-2343
Phone (770) 645-0652
Other providers in Duluth, GA
- Emilio N/a Acosta
- Acu-Wellness Group
- Andrew B Adam
- Cherie Celeste Adams-Ndlovu
- Carlie Lynne Adams
- Cortney Adams
- Eric Bond Adams
- Velita Addison
- Nneka Adelaja
- Blessing Adeyemo
All providers in Duluth, GA · Administrator Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.