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Individual

SAMUEL ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
(606) 408-3841
Mailing address
PO BOX 151, ASHLAND, KY 41105-0151
(606) 408-4000
(606) 408-3841

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20454
WV
207Q00000X
Family Medicine Physician
Primary
37206
KY
207Q00000X
Family Medicine Physician
ME139866
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1807611000
WV
05
2270260
OH
05
64039084
KY
Enumeration date
01/18/2006
Last updated
05/31/2019
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