Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 0103301054 | VA |
N | 222Z00000X | Podiatrist | 0103301054 | VA |
N | 213E00000X | Podiatrist | 583 | NC |
N | 222Z00000X | Podiatrist | 583 | NC |
N | 213EP1101X | Primary Podiatric Medicine | 0103301054 | VA |
Y | 213EP1101X | Primary Podiatric Medicine | 583 | NC |
NPI | 1528382736 |
---|---|
Provider Name | Dr. Alison Adams Durham |
First Address | Greensboro, NC 27408-7222 |
Second Address | Greensboro, NC 27408-7222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2010 |
Last Update Date | 23/09/2014 |