Healthcare Provider Details

I. General information

NPI: 1265406078
Provider Name (Legal Business Name): MELANIE L ADAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 09/08/2024
Certification Date: 09/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 CHARTER DR SUITE 320
COLUMBIA MD
21044-3629
US

IV. Provider business mailing address

10700 CHARTER DR SUITE 320
COLUMBIA MD
21044-3629
US

V. Phone/Fax

Practice location:
  • Phone: 410-910-2366
  • Fax: 410-910-2367
Mailing address:
  • Phone: 410-910-2366
  • Fax: 410-910-2367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD57858
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: