Provider Demographics
NPI:1972215648
Name:ADAMSON, SHARMEALE
Entity type:Individual
Prefix:
First Name:SHARMEALE
Middle Name:
Last Name:ADAMSON
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 1:2412 BEAR MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-8826
Mailing Address - Country:US
Mailing Address - Phone:192-927-1222
Mailing Address - Fax:
Practice Address - Street 1:2412 BEAR MOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-8826
Practice Address - Country:US
Practice Address - Phone:192-927-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician