Golly, Adrianne L
Golly, Adrianne L is an individual health care provider with primary practice located at 198 Thomas Johnson Dr Suite 101, Frederick MD 21702-4398. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Golly, Adrianne L can be contacted via phone (301) 694-0870.Contact Information
Primary practice address
198 Thomas Johnson Dr Suite 101
Frederick MD 21702-4398
Phone: (301) 694-0870
Fax: (301) 694-7034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9643 | Tennessee |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 50224 | Tennessee |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 15636 | Maryland |
Profile Details
| NPI number | 1689885998 |
|---|---|
| LBN Legal business name | Golly, Adrianne L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Aug 28th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689885998 | NPPES |
| Tennessee | MEDICAID | 1531915 |
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