Healthcare Provider Details

I. General information

NPI: 1619290756
Provider Name (Legal Business Name): WILLIAM M ADAMS JR MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2010
Last Update Date: 03/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6209 POPLAR AVE SUITE 200
MEMPHIS TN
38119-4712
US

IV. Provider business mailing address

6209 POPLAR AVE SUITE 200
MEMPHIS TN
38119-4712
US

V. Phone/Fax

Practice location:
  • Phone: 901-761-4844
  • Fax: 901-761-6929
Mailing address:
  • Phone: 901-761-4844
  • Fax: 901-761-6929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number4378
License Number StateTN

VIII. Authorized Official

Name: DR. WILLIAM M ADAMS JR.
Title or Position: MD/OWNER
Credential: MD
Phone: 901-761-4844