Individual provider · NPI-1
Clifford C Adams III, M.D.
Phlebology · Madison, MS
NPI number1770526212
StatusActive
Last updated in NPPESJan 30, 2025
Details
- NPI
- 1770526212
- Entity type
- Individual (NPI-1)
- Name
- Clifford C Adams III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2006
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202K00000X | Phlebology | 13236 | MS | Yes |
| 207L00000X | Anesthesiology | 13236 | MS | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 13236 | MS |
Practice location
111 Fountains BlvdMadison, MS 39110-6344
Phone 601-707-7026 · Fax 601-707-7054
Mailing address
111 Fountains BlvdMadison, MS 39110-6344
Phone 601-707-7026 · Fax 601-707-7054
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