MEDICARE: NAUREEN MAJID ADAM M.D.

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	208VP0014X	Interventional Pain Medicine Physician	050775	GA

General Provider Information

NPI Number	:	1518174457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAUREEN MAJID ADAM M.D.

Provider Business Mailing Address
First Line	:	3400 PEACHTREE RD NE
Second Line	:	STE 811
City	:	ATLANTA
State	:	GA
Zip	:	30326-1170
Country	:	US
Telephone Number	:	404-350-0980
Fax Number	:	404-350-8345

Provider Business Practice Location Address
First Line	:	2061 PEACHTREE RD NE
Second Line	:	STE 225
City	:	ATLANTA
State	:	GA
Zip	:	30309-1427
Country	:	US
Telephone Number	:	404-554-0633
Fax Number	:	770-929-9092

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	09/11/2013

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