Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 2005-01394 | NC |
N | 2080P0203X | Pediatric Critical Care Doctor | 2005-01394 | NC |
NPI | 1023100930 |
---|---|
Provider Name | Dr. David F Adams |
First Address | Charlotte, NC 28263-3213 |
Second Address | Raleigh, NC 27610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 25/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023100930 | (05) | NC |
5905544 | (05) | NC |
Q0139H | (05) | SC |