Adam, Michael

Adam, Michael is an individual health care provider with primary practice located at 1168 W Martintown Rd , North Augusta SC 29841-2046. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Adam, Michael can be contacted via phone (803) 202-0053.

Contact Information

Primary practice address
1168 W Martintown Rd North Augusta SC 29841-2046
Phone: (803) 202-0053
Fax: (803) 202-0018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004142 Georgia

Profile Details

NPI number 1699884957
LBN Legal business name Adam, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 20th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699884957 NPPES
South Carolina MEDICAID 0137PA
South Carolina MEDICAID 124275211A
South Carolina Other P00688379

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