Provider Demographics
NPI:1073956231
Name:ADAMS, ZACHARY ALEXIS (MD)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:ALEXIS
Last Name:ADAMS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 KIMBALL PL STE 100
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-2614
Mailing Address - Country:US
Mailing Address - Phone:678-990-3962
Mailing Address - Fax:678-623-3862
Practice Address - Street 1:4245 JOHNS CREEK PKWY STE A
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-9122
Practice Address - Country:US
Practice Address - Phone:678-990-3962
Practice Address - Fax:678-623-3862
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60894787207QS1201X
CAA167567207QS1201X
GA103478207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFA5987384OtherDEA