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NPI Code Detail

MEDICARE: ADJOA ODAME-ADAMS

MEDICARE: ADJOA ODAME-ADAMS
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
1106S00000XBehavior TechnicianBACB1198614GA

General Provider Information

NPI Number : 1669267092
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADJOA ODAME-ADAMS
Provider Business Mailing Address
First Line : 2440 FAIRBURN RD SW STE 101
Second Line :
City : ATLANTA
State : GA
Zip : 30331-5253
Country : US
Telephone Number : 470-419-8442
Fax Number : 470-419-8442
Provider Business Practice Location Address
First Line : 2440 FAIRBURN RD SW STE 101
Second Line :
City : ATLANTA
State : GA
Zip : 30331-5253
Country : US
Telephone Number : 470-419-8442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2025
Last Update Date : 04/15/2025

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Directions to “ ADJOA ODAME-ADAMS ” Practice Location

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