Provider Demographics
NPI:1033195284
Name:ADAMS, JULIE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ELIZABETH
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:979 E 3RD ST STE C225
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-3314
Mailing Address - Country:US
Mailing Address - Phone:423-778-5995
Mailing Address - Fax:423-778-5994
Practice Address - Street 1:979 E 3RD ST STE C225
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3314
Practice Address - Country:US
Practice Address - Phone:423-778-5995
Practice Address - Fax:423-778-5994
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN59700207X00000X, 207XS0106X
MT126749207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN667652900Medicaid
MN200044625Medicare ID - Type UnspecifiedRAILROAD
MN667652900Medicaid
H65799Medicare UPIN