Healthcare Provider Details

I. General information

NPI: 1487277745
Provider Name (Legal Business Name): ADAIR LONDON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ADAIR ELIZABETH LONDON MD

II. Dates (important events)

Enumeration Date: 05/21/2020
Last Update Date: 08/30/2024
Certification Date: 08/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 CARTER PARK DR STE A
SENECA SC
29678-1152
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 864-482-2360
  • Fax: 864-482-2365
Mailing address:
  • Phone: 864-522-8603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberLL84497
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number84497
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: