Provider Demographics
NPI:1083671994
Name:ADAMS, CAROL LYNN (MD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:LYNN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:LYNN
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:300 N AIRPORT RD STE 2
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35504-2516
Mailing Address - Country:US
Mailing Address - Phone:205-221-7099
Mailing Address - Fax:205-221-9350
Practice Address - Street 1:300 N AIRPORT RD STE 2
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35504-2516
Practice Address - Country:US
Practice Address - Phone:205-221-7099
Practice Address - Fax:205-221-9350
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24739208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery