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1568026607 NPI number — SAMUEL CARL ADAMS MD

NPI Number: 1568026607
Health Care Provider/Practitioner: SAMUEL CARL ADAMS MD

Information about “1568026607” NPI (SAMUEL CARL ADAMS MD) exists in 1568026607 in HTML format HTML  |  1568026607 in plain Text format TXT  |  1568026607 in PDF (Portable Document Format) PDF  |  1568026607 in an XML format XML  formats.

NPI Number : 1568026607 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568026607",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ADAMS",
    "FirstName": "SAMUEL",
    "MiddleName": "CARL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "116 SLATE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREER",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29650-5331",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-974-9561",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "101 E WOOD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPARTANBURG",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29303-3040",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-560-6576",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/24/2019",
    "LastUpdateDate": "07/27/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "MD82563",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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