Provider Demographics
NPI:1053502948
Name:STRAND, ADRIAN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:LEE
Last Name:STRAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 602108
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2108
Mailing Address - Country:US
Mailing Address - Phone:843-792-6200
Mailing Address - Fax:
Practice Address - Street 1:8992 UNIVERSITY BLVD
Practice Address - Street 2:STE 300
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-8104
Practice Address - Country:US
Practice Address - Phone:843-876-5555
Practice Address - Fax:831-728-8266
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA100472207Q00000X, 208600000X
SC40226207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ15686ZOtherMEDICARE GROUP