Provider Demographics
NPI:1649597410
Name:ADAMS, HOWELL GARRETT (MD)
Entity Type:Individual
Prefix:
First Name:HOWELL
Middle Name:GARRETT
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:H.
Other - Middle Name:GARRETT
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2975 LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-2970
Mailing Address - Country:US
Mailing Address - Phone:502-895-8847
Mailing Address - Fax:
Practice Address - Street 1:19562 HIGHWAY 56
Practice Address - Street 2:
Practice Address - City:BEERSHEBA SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37305
Practice Address - Country:US
Practice Address - Phone:931-692-3631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000015473208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208000000XAllopathic & Osteopathic PhysiciansPediatrics