Provider Demographics
NPI:1538464219
Name:ADAMSKI, ERIC PAUL
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:PAUL
Last Name:ADAMSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 MILLER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-4843
Mailing Address - Country:US
Mailing Address - Phone:912-596-5436
Mailing Address - Fax:
Practice Address - Street 1:64 MILLER DR
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-4843
Practice Address - Country:US
Practice Address - Phone:912-596-5436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA5527314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility