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Individual

MICHAEL L ADIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
419 EARL ROAD, SHELBY, NC 28150
(704) 481-0555
(704) 481-9169
Mailing address
3152 LITTLE ROAD, SUITE 115, TRINITY, FL 34655
(727) 510-7536
(727) 494-7421

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2011040029
MO
207R00000X
Internal Medicine Physician
Primary
9401112
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8910156
NC
05
N01112
SC
Enumeration date
07/27/2006
Last updated
12/11/2020
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