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General NPI Number Information
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NPI Number | 1700806767
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Entity Type | Individual
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Provider Name | ALYCE R. ADAMS M.D.,CDE
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 3106 CYPRESS ST
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City | WEST MONROE
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State | LA
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Zip | 71291-5203
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Country | US
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Telephone | 318-966-8420
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Fax | 318-966-8421
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6038
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Country | US
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Telephone | 318-966-8420
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Fax | 225-765-9196
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD04520R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 04520R
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.04520R
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License Number State | LA
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