MEDICARE: ADAMS CLINIC OF CHIROPRACTIC LLC

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	007332	GA

General Provider Information

NPI Number	:	1588810246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAMS CLINIC OF CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	2070 HIGHWAY 11 NW
Second Line	:
City	:	MONROE
State	:	GA
Zip	:	30656-4682
Country	:	US
Telephone Number	:	770-267-3277
Fax Number	:	770-207-0753

Provider Business Practice Location Address
First Line	:	2070 HIGHWAY 11 NW
Second Line	:
City	:	MONROE
State	:	GA
Zip	:	30656-4682
Country	:	US
Telephone Number	:	770-267-3277
Fax Number	:	770-207-0753

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEREMY TODD ADAMS
Credential	:	D.C.
Telephone Number	:	770-267-3277

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	08/17/2022

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