Provider Demographics
NPI:1982696241
Name:ADAMS, ANTHONY BRITT (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:BRITT
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ANTHONY
Other - Middle Name:BRITT
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2575 JOLLY RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3165
Mailing Address - Country:US
Mailing Address - Phone:404-767-8886
Mailing Address - Fax:404-761-7565
Practice Address - Street 1:2575 JOLLY RD
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-3165
Practice Address - Country:US
Practice Address - Phone:404-767-8886
Practice Address - Fax:404-761-7565
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA23255207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD39257Medicare UPIN