Provider Demographics
NPI:1225199334
Name:ADAMS, LANIER H (DO)
Entity Type:Individual
Prefix:
First Name:LANIER
Middle Name:H
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5052 RED BUD DR
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-4404
Mailing Address - Country:US
Mailing Address - Phone:706-550-0094
Mailing Address - Fax:
Practice Address - Street 1:300 HOSPITAL ROAD
Practice Address - Street 2:DWIGHT D EISENHOWER ARMY MEDICAL CENTER
Practice Address - City:FT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-5650
Practice Address - Country:US
Practice Address - Phone:706-787-2720
Practice Address - Fax:706-787-8176
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA026819207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine