Adams, August Glenn

Adams, August Glenn is an individual health care provider with primary practice located at 204 N Rhett St , Southport NC 28461-3944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Adams, August Glenn can be contacted via phone (217) 730-1434.

Contact Information

Primary practice address
204 N Rhett St Southport NC 28461-3944
Phone: (217) 730-1434
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-103802 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2009-00509 North Carolina

Profile Details

NPI number 1992803985
LBN Legal business name Adams, August Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 4th, 2024 - about 2 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 1992803985 NPPES
Illinois MEDICAID 036103802
Illinois MEDICAID 370673461008

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