Provider Demographics
NPI:1922457167
Name:ADAMS, SHNIQUAL (CNM)
Entity Type:Individual
Prefix:
First Name:SHNIQUAL
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:237 UPPER RIVERDALE RD SW
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2537
Mailing Address - Country:US
Mailing Address - Phone:770-909-5003
Mailing Address - Fax:770-909-5004
Practice Address - Street 1:237 UPPER RIVERDALE RD SW
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2537
Practice Address - Country:US
Practice Address - Phone:770-909-5003
Practice Address - Fax:770-909-5004
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN245906367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife