Provider Demographics
NPI:1194976191
Name:ADAMSON, KIRSTEN BILLING (PAA)
Entity type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:BILLING
Last Name:ADAMSON
Suffix:
Gender:F
Credentials:PAA
Other - Prefix:MISS
Other - First Name:KIRSTEN
Other - Middle Name:V
Other - Last Name:BILLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAA
Mailing Address - Street 1:531 ROSELANE STREET NW
Mailing Address - Street 2:SUITE 750
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060
Mailing Address - Country:US
Mailing Address - Phone:770-794-0477
Mailing Address - Fax:770-794-3108
Practice Address - Street 1:677 CHURCH ST NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1101
Practice Address - Country:US
Practice Address - Phone:770-794-0477
Practice Address - Fax:770-794-3108
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005437367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant