MEDICARE: CAROL LYNN ADAMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	24739	AL

General Provider Information

NPI Number	:	1083671994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL LYNN ADAMS MD

Provider Business Mailing Address
First Line	:	300 N AIRPORT RD STE 2
Second Line	:
City	:	JASPER
State	:	AL
Zip	:	35504-2516
Country	:	US
Telephone Number	:	205-221-7099
Fax Number	:	205-221-9350

Provider Business Practice Location Address
First Line	:	300 N AIRPORT RD STE 2
Second Line	:
City	:	JASPER
State	:	AL
Zip	:	35504-2516
Country	:	US
Telephone Number	:	205-221-7099
Fax Number	:	205-221-9350

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	08/27/2013

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