Individual
CHARLES ATWOOD ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
285 N EL CAMINO REAL, SUITE 219, ENCINITAS, CA 92024-5383
(760) 753-9500
(760) 753-0785
Mailing address
285 N EL CAMINO REAL, SUITE 219, ENCINITAS, CA 92024-5383
(760) 753-9500
(760) 753-0785
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G28056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G28056
MEDICARE PTAN
CA
Enumeration date
09/09/2005
Last updated
09/07/2012
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