Healthcare Provider Details

I. General information

NPI: 1295973873
Provider Name (Legal Business Name): EVELINE ADAMS WARING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 05/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2831 TRICOM ST
NORTH CHARLESTON SC
29406-9193
US

IV. Provider business mailing address

2831 TRICOM ST
NORTH CHARLESTON SC
29406-9193
US

V. Phone/Fax

Practice location:
  • Phone: 843-863-0088
  • Fax:
Mailing address:
  • Phone: 843-863-0088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number20879
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: