Adcock, Jimmie Warren
Adcock, Jimmie Warren is an individual health care provider with primary practice located at 1942 E 7Th St Ste 200 , Charlotte NC 28204-2418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adcock, Jimmie Warren can be contacted via phone (704) 384-7085.Contact Information
Primary practice address
1942 E 7Th St Ste 200
Charlotte NC 28204-2418
Phone: (704) 384-7085
Fax: (704) 384-7089
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 27353 | North Carolina |
Profile Details
NPI number | 1649252818 |
---|---|
LBN Legal business name | Adcock, Jimmie Warren |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2005 |
Last updated | Oct 18th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649252818 | NPPES |
North Carolina | MEDICAID | 8910369 | |
North Carolina | MEDICAID | N27353 |
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