Provider Demographics
NPI:1073506549
Name:ADAMS BIRT, JULIANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:
Last Name:ADAMS BIRT
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:P.O. BOX 2154
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058
Mailing Address - Country:US
Mailing Address - Phone:770-860-0123
Mailing Address - Fax:888-868-5181
Practice Address - Street 1:1403 MANCHESTER DR. NE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012
Practice Address - Country:US
Practice Address - Phone:770-860-0123
Practice Address - Fax:888-868-5181
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA56515207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology