Provider Demographics
NPI:1346538881
Name:JULIANNE ADAMS BIRT, MD, LLC
Entity Type:Organization
Organization Name:JULIANNE ADAMS BIRT, MD, LLC
Other - Org Name:RADIANT WOMEN'S HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIANNE
Authorized Official - Middle Name:ADAMS
Authorized Official - Last Name:BIRT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-906-5906
Mailing Address - Street 1:PO 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:404-906-5906
Mailing Address - Fax:
Practice Address - Street 1:1380 MILSTEAD AVE NE
Practice Address - Street 2:SUITE F
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3864
Practice Address - Country:US
Practice Address - Phone:404-906-5906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA056515207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty