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Contact Information

TABATHA M ADAMS
1508 OXFORD DR
GEORGETOWN, KY40324-9266
 Phone: 502-863-0880
 Fax: 502-867-7363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TABATHA M ADAMS · (Female)

NPI Number 1619014701
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2007
Last updated 03/28/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 7216
  • KY Medicaid 60072162
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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