Individual
ADAM LEE EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103
(704) 323-2000
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006084
NC
363LG0600X
Gerontology Nurse Practitioner
5006084
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1766K
BLUE CROSS AND BLUE SHIELD OF NC
NC
01
—
397730042
NSC #
NC
Enumeration date
02/26/2013
Last updated
08/28/2018
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