Provider Demographics
NPI:1356762116
Name:ADKINS, BRIAN
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:ADKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 425
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-0008
Mailing Address - Country:US
Mailing Address - Phone:770-676-7337
Mailing Address - Fax:877-626-9392
Practice Address - Street 1:1075 COOPER RD STE 200
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:GA
Practice Address - Zip Code:30017-4268
Practice Address - Country:US
Practice Address - Phone:770-676-7337
Practice Address - Fax:877-626-9392
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide