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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689885998 NPPES
Tennessee MEDICAID 1531915

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