MEDICARE: DR. EVELINE ADAMS WARING M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	20879	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01417646	OTHER	SC	RR MEDICARE PPCP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295973873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVELINE ADAMS WARING M.D.

Provider Business Mailing Address
First Line	:	2831 TRICOM ST
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9193
Country	:	US
Telephone Number	:	843-863-0088
Fax Number	:

Provider Business Practice Location Address
First Line	:	2831 TRICOM ST
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9193
Country	:	US
Telephone Number	:	843-863-0088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2009
Last Update Date	:	05/05/2016

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