Provider Demographics
NPI:1407949209
Name:ADAMS, ANNA L (PA)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:FURGESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:980 JOHNSON FERRY ROAD
Mailing Address - Street 2:STE 220
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:404-255-5956
Mailing Address - Fax:404-255-3908
Practice Address - Street 1:980 JOHNSON FERRY ROAD
Practice Address - Street 2:STE 220
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-255-5956
Practice Address - Fax:404-255-3908
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004859363AM0700X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical