Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 191862 | NC |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | R6724 | TX |
NPI | 1427498294 |
---|---|
Provider Name | Christopher Adair |
First Address | Greensboro, NC 27408-7033 |
Second Address | Greensboro, NC 27408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2013 |
Last Update Date | 11/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6865419 | AETNA COMMERCIAL (01) | NC |