Provider Demographics
NPI:1790767168
Name:ADAMS, THOMAS L JR (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:L
Last Name:ADAMS
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 PINNACLE POINT DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-5740
Mailing Address - Country:US
Mailing Address - Phone:803-562-2122
Mailing Address - Fax:
Practice Address - Street 1:1021 PINNACLE POINT DR
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-5740
Practice Address - Country:US
Practice Address - Phone:803-562-2122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02002285A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine