MEDICARE: DAVID N 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	208100000X	Physical Medicine & Rehabilitation Physician	15528	LA

General Provider Information

NPI Number	:	1750373338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID N ADAMS MD

Provider Business Mailing Address
First Line	:	5709 SHORELINE DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71119-3911
Country	:	US
Telephone Number	:	318-334-0768
Fax Number	:

Provider Business Practice Location Address
First Line	:	5709 SHORELINE DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71119-3911
Country	:	US
Telephone Number	:	318-334-0768
Fax Number	:

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	12/10/2020

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Directions to “ DAVID N ADAMS MD” Practice Location

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