Provider Demographics
NPI:1013143510
Name:ADAMS, JOY LYNN (PT)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:LYNN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 HUNTINGTON PL
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-7091
Mailing Address - Country:US
Mailing Address - Phone:678-860-7072
Mailing Address - Fax:
Practice Address - Street 1:371 NOAH DR
Practice Address - Street 2:SUITE 102
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-8708
Practice Address - Country:US
Practice Address - Phone:706-253-6287
Practice Address - Fax:706-253-6289
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT003261208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation