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Individual

ADAM JURDAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-6200
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
707672-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27556
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2997157
NY
Enumeration date
03/16/2018
Last updated
08/23/2023
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