Individual
DR. JIMMIE WARREN ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1942 E 7TH ST STE 200, CHARLOTTE, NC 28204-2418
(704) 384-7085
(704) 384-7089
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7085
(704) 384-7089
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27353
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910369
—
NC
05
—
N27353
—
SC
Enumeration date
11/15/2005
Last updated
10/18/2023
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