Individual
TERRE WILSON ADAMS
Active
Individual
TERRE WILSON ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
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
Update your record
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