Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 023254 | GA |
Y | 2084N0400X | Neurologist | 29660 | SC |
NPI | 1003919911 |
---|---|
Provider Name | Robert Joseph Adams |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-0100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 12/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000272786B | (05) | GA |
D44675 | (02) | |
G23254 | (05) | SC |