Provider Demographics
NPI:1518207901
Name:ADAMS, BRANDT CURTIS (DC)
Entity Type:Individual
Prefix:
First Name:BRANDT
Middle Name:CURTIS
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-5408
Mailing Address - Country:US
Mailing Address - Phone:806-570-6633
Mailing Address - Fax:
Practice Address - Street 1:1062 BEAR CREEK BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-1849
Practice Address - Country:US
Practice Address - Phone:770-946-0405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor