Healthcare Provider Details

I. General information

NPI: 1326149600
Provider Name (Legal Business Name): MELANIE L ADAMS MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 CHARTER DR STE 320
COLUMBIA MD
21044-3695
US

IV. Provider business mailing address

10700 CHARTER DR STE 320
COLUMBIA MD
21044-3695
US

V. Phone/Fax

Practice location:
  • Phone: 410-910-2366
  • Fax:
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 Number
License Number State

VIII. Authorized Official

Name: DR. MELANIE ADAMS
Title or Position: MD
Credential:
Phone: 410-910-2366