Provider Demographics
NPI:1124086350
Name:ADCOX, WILLIAM CLINT (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CLINT
Last Name:ADCOX
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:407 MOUNT VERNON TRCE
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-2641
Mailing Address - Country:US
Mailing Address - Phone:770-486-1818
Mailing Address - Fax:770-486-7303
Practice Address - Street 1:100 GENEVIEVE CT STE A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-4868
Practice Address - Country:US
Practice Address - Phone:770-486-1818
Practice Address - Fax:770-486-7303
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2011-12-20
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Provider Licenses
StateLicense IDTaxonomies
GA031376207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAE19597Medicare UPIN
GA08BDNDZMedicare ID - Type Unspecified