Individual
DR. ADAM LUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27103
(336) 716-2255
Mailing address
268 ASHLEY AVE, APT. B, CHARLESTON, SC 29403-5491
(704) 668-4579
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2019-02525
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/05/2016
Last updated
06/05/2021
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