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SIMON ADAMES MD
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1205804622
Individual Registrant: SIMON ADAMES MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3386 GREYSTONE WAY VALDOSTA, GA 31605-1096 US
Tel: 229-219-7407 Fax: --
Tel: 229-219-7407 Fax: --
Contact information for business:
3386 GREYSTONE WAY VALDOSTA, GA 31605-1096 US
Tel: 229-219-7826 Fax: --
Tel: 229-219-7826 Fax: --
Registration Information:
NPI: 1205804622
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | GA | 045155 |
| N | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | GA | 45155 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RAILROAD MEDICARE | 930071441 | 01 | |
| 254800300 | FL | 05 | |
| BLUE CROSS BLUE SHIELD | 598745 | GA | 01 |
| 000804328E | GA | 05 |
