Provider Demographics
NPI:1134183924
Name:ADAMSON, RENEE DUKES (PHARMD)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:DUKES
Last Name:ADAMSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 APACHE TRL
Mailing Address - Street 2:
Mailing Address - City:WAVERLY HALL
Mailing Address - State:GA
Mailing Address - Zip Code:31831-2131
Mailing Address - Country:US
Mailing Address - Phone:706-582-3167
Mailing Address - Fax:
Practice Address - Street 1:2000 WARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-7932
Practice Address - Country:US
Practice Address - Phone:706-324-2501
Practice Address - Fax:706-324-0900
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA18292183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy