Healthcare Provider Details

I. General information

NPI: 1114329653
Provider Name (Legal Business Name): LAUREN ADAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2014
Last Update Date: 09/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 CALHOUN RD
GREENWOOD SC
29649-9102
US

IV. Provider business mailing address

1855 CALHOUN RD
GREENWOOD SC
29649-9102
US

V. Phone/Fax

Practice location:
  • Phone: 864-941-5400
  • Fax:
Mailing address:
  • Phone: 864-941-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number103634
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: