Individual provider · NPI-1
Timothy Adams, ATC
Specialist/Technologist, Athletic Trainer · Atlanta, GA
NPI number1437572179
StatusActive
Last updated in NPPESMar 11, 2019
Details
- NPI
- 1437572179
- Entity type
- Individual (NPI-1)
- Name
- Timothy Adams
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2014
- Last updated
- Mar 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | GA | Yes |
Practice location
125 Decatur St SeAtlanta, GA 30303-3201
Phone 404-413-4177
Mailing address
Po Box 3975Atlanta, GA 30302-3975
Phone 404-413-4177
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