Provider Demographics
NPI:1003880493
Name:ADAMS, JOHN SINDOS SR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:SINDOS
Last Name:ADAMS
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 SPRING CREEK ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-3974
Mailing Address - Country:US
Mailing Address - Phone:423-510-0250
Mailing Address - Fax:423-510-9524
Practice Address - Street 1:929 SPRING CREEK ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412-3974
Practice Address - Country:US
Practice Address - Phone:423-510-0250
Practice Address - Fax:423-510-9524
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD5026778207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3803684Medicaid
G31194Medicare UPIN
TN3803684Medicaid