MEDICARE: DR. JOHN WAYNE ADAMS M.D.

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	207Q00000X	Family Medicine Physician	32815	AL

General Provider Information

NPI Number	:	1326307364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN WAYNE ADAMS M.D.

Provider Business Mailing Address
First Line	:	3368 HIGHWAY 280 STE 218
Second Line	:
City	:	ALEXANDER CITY
State	:	AL
Zip	:	35010-3375
Country	:	US
Telephone Number	:	256-329-7887
Fax Number	:	256-329-7898

Provider Business Practice Location Address
First Line	:	3368 HIGHWAY 280 STE 218
Second Line	:
City	:	ALEXANDER CITY
State	:	AL
Zip	:	35010-3375
Country	:	US
Telephone Number	:	256-329-7887
Fax Number	:	256-329-7898

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

Provider Enumeration Date	:	05/11/2012
Last Update Date	:	10/02/2017

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