Individual
CHARLES DAVID ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.11739R
LA
207VM0101X
Maternal & Fetal Medicine Physician
30025
TN
207VM0101X
Maternal & Fetal Medicine Physician
MD-30026
TN
207VM0101X
Maternal & Fetal Medicine Physician
MD.11739R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3821886
—
TN
Enumeration date
08/16/2005
Last updated
05/01/2025
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