Provider Demographics
NPI:1487768925
Name:ADAMS-QUOW, SONJA CLAUDETTA
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:CLAUDETTA
Last Name:ADAMS-QUOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 GROSS WAY SE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-2283
Mailing Address - Country:US
Mailing Address - Phone:770-918-1777
Mailing Address - Fax:
Practice Address - Street 1:ST. LUKE'S HOSPITAL
Practice Address - Street 2:101 PAGE STREET
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-973-5006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAR147393367500000X
MA2297799367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered