Provider Demographics
NPI:1912719170
Name:SOW, ADAMA (RN)
Entity type:Individual
Prefix:
First Name:ADAMA
Middle Name:
Last Name:SOW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 BUFORD HWY APT 1202
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3681
Mailing Address - Country:US
Mailing Address - Phone:404-468-0388
Mailing Address - Fax:
Practice Address - Street 1:3250 BUFORD HWY APT 1202
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-3681
Practice Address - Country:US
Practice Address - Phone:404-468-0388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA216623163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn