Individual
SAMUEL ADAMS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9125
(843) 572-8277
Mailing address
2061 HIGHWAY 52, MONCKS CORNER, SC 29461-5017
(804) 690-5522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1699
SC
Other
Enumeration date
06/21/2013
Last updated
10/18/2016
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