MEDICARE: MR. JONATHAN ADAMS

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	237600000X	Audiologist-Hearing Aid Fitter	2362	AL

General Provider Information

NPI Number	:	1285474692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JONATHAN ADAMS

Provider Business Mailing Address
First Line	:	4318 DOWNTOWNER LOOP N STE K
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36609-5508
Country	:	US
Telephone Number	:	251-343-3633
Fax Number	:

Provider Business Practice Location Address
First Line	:	4318 DOWNTOWNER LOOP N STE K
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36609-5508
Country	:	US
Telephone Number	:	251-343-3633
Fax Number	:

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

Provider Enumeration Date	:	05/31/2024
Last Update Date	:	05/31/2024

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Directions to “ MR. JONATHAN ADAMS ” Practice Location

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