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NPI Code Detail

MEDICARE: DOUGLAS W ADAMS MD

MEDICARE:   DOUGLAS W ADAMS  MD
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
12084P0800XPsychiatry Physician22646AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151541121OTHERALBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
451527008OTHERALBLUE CROSS BLUE SHIELD
551527345OTHERALFEDERAL BLUE CROSS PROGRA

General Provider Information

NPI Number : 1043291123
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS W ADAMS MD
Provider Business Mailing Address
First Line : 1643 SLAUGHTER RD
Second Line :
City : MADISON
State : AL
Zip : 35758-8692
Country : US
Telephone Number : 256-895-8148
Fax Number : 256-489-8148
Provider Business Practice Location Address
First Line : 4040 MEMORIAL PKWY SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-4364
Country : US
Telephone Number : 256-533-1970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 06/27/2019

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Directions to “ DOUGLAS W ADAMS MD” Practice Location

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