Michael Adam in North Augusta - Physician Assistant
Michael Adam - NPI 1699884957
Michael Adam is a Physician Assistant in North Augusta, South Carolina. Michael Adam practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Adam is 1699884957. The last update date is 2010-07-20.
Michael Adam's current location address is 1168 W Martintown Rd, North Augusta, South Carolina. You can contact this provider via phone number 8032020053 and fax number 8032020018. The mailing address for Michael Adam is 1168 W Martintown Rd, North Augusta, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Adam |
|---|---|
| Address | 1168 W Martintown Rd, North Augusta, South Carolina |
| Phone Number | 8032020053 |
| Fax Number | 8032020018 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1699884957 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2010-07-20 |
Provider Mailing Address Detail
| Address | 1168 W Martintown Rd |
|---|---|
| City | North Augusta |
| State | South Carolina (SC) |
| Post Code | 298412046 |
| Phone Number | 8032020053 |
| Fax Number | 8032020018 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4142 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0137PA | SC | -- | |
| 124275211A | GA | -- | |
| P00688379 | SC | RAIL ROAD MEDICARE |
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Where is the Michael Adam located?
The Michael Adam is located at 1168 W Martintown Rd, North Augusta, SC 298412046.
When was the Michael Adam's 1699884957 issued?
The Michael Adam's 1699884957 was issued on 2006-08-30.
On what date did the Centers for Medicare & Medicaid Services issue the 1699884957 to Michael Adam?
The Michael Adam received its 1699884957 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the Michael Adam's information last updated?
The Michael Adam's information was last updated on 2010-07-20.
When was the information pertaining to Michael Adam most recently updated or revised?
The details related to Michael Adam, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-20.