Provider Demographics
NPI:1730188541
Name:ADAMS, KRISTAN V (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTAN
Middle Name:V
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:275 COLLIER RD NW
Mailing Address - Street 2:SUITE 100-B
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1709
Mailing Address - Country:US
Mailing Address - Phone:404-350-5815
Mailing Address - Fax:404-350-5820
Practice Address - Street 1:275 COLLIER RD NW
Practice Address - Street 2:SUITE 100-B
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1709
Practice Address - Country:US
Practice Address - Phone:404-350-5815
Practice Address - Fax:404-350-5820
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2007-09-21
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Provider Licenses
StateLicense IDTaxonomies
GA057764207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA16BBDHJMedicare PIN
GAH47917Medicare UPIN