MEDICARE: BRANDT CURTIS ADAMS D.C.

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	111N00000X	Chiropractor	CHIR009104	GA

General Provider Information

NPI Number	:	1518207901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDT CURTIS ADAMS D.C.

Provider Business Mailing Address
First Line	:	316 JACKSON AVE
Second Line	:
City	:	THOMASTON
State	:	GA
Zip	:	30286-5408
Country	:	US
Telephone Number	:	806-570-6633
Fax Number	:

Provider Business Practice Location Address
First Line	:	1062 BEAR CREEK BLVD
Second Line	:	SUITE 100
City	:	HAMPTON
State	:	GA
Zip	:	30228-1849
Country	:	US
Telephone Number	:	770-946-0405
Fax Number	:

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

Provider Enumeration Date	:	02/21/2013
Last Update Date	:	02/21/2013

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