MEDICARE: DR. DAWN LITTLE-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
1	207P00000X	Emergency Medicine Physician	051884	GA
2	207Q00000X	Family Medicine Physician	51884	GA

General Provider Information

NPI Number	:	1659383628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAWN LITTLE-ADAMS MD

Provider Business Mailing Address
First Line	:	PO BOX 35
Second Line	:
City	:	REYNOLDS
State	:	GA
Zip	:	31076-0035
Country	:	US
Telephone Number	:	478-956-1155
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 GORDON ST
Second Line	:
City	:	WASHINGTON
State	:	GA
Zip	:	30673-1602
Country	:	US
Telephone Number	:	706-678-2151
Fax Number	:

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	10/17/2019

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