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Individual

MR. MICHAEL ADAM

Active
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Individual

MR. MICHAEL ADAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004142
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137PA
—
SC
05
—
124275211A
—
GA
01
—
P00688379
RAIL ROAD MEDICARE
SC
Enumeration date
08/30/2006
Last updated
07/20/2010
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