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TERRE WILSON ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
2101 NICHOLASVILLE RD, SUITE 106, LEXINGTON, KY 40503-2518
(859) 278-5926
Mailing address
2101 NICHOLASVILLE RD, SUITE 106, LEXINGTON, KY 40503-2518
(859) 278-5926

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26898
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0091190
MEDICARE PTAN
KY
01
0169
MEDICARE GROUP NUMBER
KY
01
110165587
RR MEDICARE PIN
KY
01
37903705
MEDICAID LAB GRP
KY
01
4000501
MEDICARE LAB GRP
KY
05
64268980
KY
01
CB5773
RR MEDICARE GRP
KY
Enumeration date
06/27/2006
Last updated
09/22/2014
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