Provider Demographics
NPI:1497016778
Name:MATHES, ADAM R (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:R
Last Name:MATHES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 743294
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3294
Mailing Address - Country:US
Mailing Address - Phone:336-716-2674
Mailing Address - Fax:
Practice Address - Street 1:PIEDMONT SPINE AND NEUROSURGICAL GROUP
Practice Address - Street 2:3 ST. FRANCIS DRIVE, STE 490
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3973
Practice Address - Country:US
Practice Address - Phone:864-220-4263
Practice Address - Fax:877-817-1865
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2018-09-20
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Provider Licenses
StateLicense IDTaxonomies
SC52056207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC520564Medicaid