Provider Demographics
NPI:1669508891
Name:ADAMS, AUSTIN ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:ANTHONY
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:741 PRESIDENT PL
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6807
Mailing Address - Country:US
Mailing Address - Phone:615-355-1620
Mailing Address - Fax:615-355-1950
Practice Address - Street 1:741 PRESIDENT PL
Practice Address - Street 2:SUITE 110
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6807
Practice Address - Country:US
Practice Address - Phone:615-355-1620
Practice Address - Fax:615-355-1950
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2023-09-15
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Provider Licenses
StateLicense IDTaxonomies
TNMD25832208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG02912Medicare UPIN