Provider Demographics
NPI:1669608618
Name:CORMAN, ADAM RANSFORD (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:RANSFORD
Last Name:CORMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8710 OLD DOMINION DR.
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102
Mailing Address - Country:US
Mailing Address - Phone:757-373-1890
Mailing Address - Fax:
Practice Address - Street 1:1900 TEBEAU ST.
Practice Address - Street 2:MAYO CLINIC HEALTH SYSTEMS
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31501
Practice Address - Country:US
Practice Address - Phone:912-338-6355
Practice Address - Fax:912-287-2712
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0012872207P00000X
GA070363207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine