MEDICARE: ADAM WOLFE

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	2085R0001X	Radiation Oncology Physician	E-14037	AR
2	207QA0505X	Adult Medicine Physician	390200000	MI
3	2085R0001X	Radiation Oncology Physician	95876	SC

General Provider Information

NPI Number	:	1417311762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM WOLFE

Provider Business Mailing Address
First Line	:	200 QUEENS RD STE 400
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-3264
Country	:	US
Telephone Number	:	704-765-2578
Fax Number	:	704-333-3397

Provider Business Practice Location Address
First Line	:	3781 MCDOWELL LN
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-8930
Country	:	US
Telephone Number	:	843-390-8110
Fax Number	:	704-333-3397

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

Provider Enumeration Date	:	04/12/2016
Last Update Date	:	12/22/2025

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Directions to “ ADAM WOLFE ” Practice Location

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