Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 25105 | NC |
NPI | 1053396499 |
---|---|
Provider Name | Norman Eugene Adair |
First Address | Winston Salem, NC 27102-0344 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 12/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10145 | BLUE CROSS (01) | |
199019000 | (05) | WV |
3523 | PARTNERS (01) | |
40131 | MEDCOST (01) | |
5280098 | AETNA (01) | |
6038751 | (05) | VA |
8910145 | (05) | NC |
Q25105 | (05) | SC |