NPI 1700580024
James Adisa
Practice location
- Address
- 2105 Mesa Valley Way APT 302, Austell, GA 30106-8166
- Phone
- (470) 886-1194
Registered specialties
Chore Provider
Primary
Registry record
- NPI
- 1700580024
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Mar 2023
- Record last updated
- 29 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.