Jerry Gregory Adderholt in Florence - Specialist

Jerry Gregory Adderholt - NPI 1013951185

Jerry Gregory Adderholt is a Specialist in Florence, Alabama. Jerry Gregory Adderholt practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jerry Gregory Adderholt is 1013951185. The last update date is 2011-05-03.

Jerry Gregory Adderholt's current location address is 426 East Doctor Hicks Blvd, Florence, Alabama. You can contact this provider via phone number 2567647721 and fax number 2567648589. The mailing address for Jerry Gregory Adderholt is 426 East Doctor Hicks Blvd, Florence, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Gregory Adderholt
Address 426 East Doctor Hicks Blvd, Florence, Alabama
Phone Number 2567647721
Fax Number 2567648589
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1013951185
Provider Enumeration Date 2006-06-16
Last Updated Date 2011-05-03

Provider Mailing Address Detail

Address 426 East Doctor Hicks Blvd
City Florence
State Alabama (AL)
Post Code 356306625
Phone Number 2567647721
Fax Number 2567648589

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 19765
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9999445 AL --

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FAQs about Jerry Gregory Adderholt

What is the unique identifier code issued to Jerry Gregory Adderholt by the Centers for Medicare & Medicaid Services (CMS)?

The Jerry Gregory Adderholt has been assigned the NPI (National Provider Identifier) 1013951185. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Jerry Gregory Adderholt is physically located?

The Jerry Gregory Adderholt is physically situated at the following address: 426 East Doctor Hicks Blvd, Florence, AL, 356306625.

What is Jerry Gregory Adderholt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jerry Gregory Adderholt is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Jerry Gregory Adderholt receive its 1013951185 assignment from the Centers for Medicare & Medicaid Services?

The Jerry Gregory Adderholt was assigned its 1013951185 by the Centers for Medicare & Medicaid Services on 2006-06-16.

As of what date were the Jerry Gregory Adderholt's details last updated?

The information pertaining to the Jerry Gregory Adderholt, including its address, specialty, and other details, was most recently updated on 2011-05-03.

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