Individual
MR. ADAM MICHAEL GUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
999 CHERAW ST, BENNETTSVILLE, SC 29512-2420
(843) 479-2341
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
(843) 857-0206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20111
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4030
—
SC
01
—
SC9074
MEDICARE
SC
Enumeration date
04/22/2016
Last updated
02/16/2023
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