Provider Demographics
NPI:1093934788
Name:ADAMS, DANNY L (PA)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 48298
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30604-8298
Mailing Address - Country:US
Mailing Address - Phone:706-543-3449
Mailing Address - Fax:706-543-5744
Practice Address - Street 1:1000 HAWTHORNE AVE STE J
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2168
Practice Address - Country:US
Practice Address - Phone:706-286-8344
Practice Address - Fax:706-286-8346
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA004766363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant