MEDICARE: PETER O ADAMSON DBA DDD ENTERPRISE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1992567986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER O ADAMSON DBA DDD ENTERPRISE, LLC

Provider Business Mailing Address
First Line	:	3547 N SHARON AMITY RD STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-2976
Country	:	US
Telephone Number	:	704-493-5062
Fax Number	:

Provider Business Practice Location Address
First Line	:	3547 N SHARON AMITY RD STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-2976
Country	:	US
Telephone Number	:	704-493-5062
Fax Number	:	704-831-5262

Authorized Official
Title or Position	:	OWNER
Name	:	MR. PETER ADAMSON
Credential	:
Telephone Number	:	704-493-5062

Provider Enumeration Date	:	01/25/2024
Last Update Date	:	01/25/2024

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