Provider Demographics
NPI:1295390680
Name:ADAMS, UNIQUE TASHEE
Entity Type:Individual
Prefix:
First Name:UNIQUE
Middle Name:TASHEE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 GRANVILLE CORS
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-4011
Mailing Address - Country:US
Mailing Address - Phone:919-339-4545
Mailing Address - Fax:
Practice Address - Street 1:614 GRANVILLE CORS
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-4011
Practice Address - Country:US
Practice Address - Phone:919-339-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1744P3200XOtherCERTIFIED HAIR LOSS SPECIALIST