Provider Demographics
NPI:1497854889
Name:MCADAMS, SUZANNE ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:ELAINE
Last Name:MCADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 STATE FARM RD
Mailing Address - Street 2:SUITE 501
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4917
Mailing Address - Country:US
Mailing Address - Phone:828-264-7720
Mailing Address - Fax:828-264-7636
Practice Address - Street 1:895 STATE FARM RD
Practice Address - Street 2:SUITE 501
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4917
Practice Address - Country:US
Practice Address - Phone:828-264-7720
Practice Address - Fax:828-264-7636
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96016972084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0276FOtherBCBS NC
TN4046636Medicaid
NC790276FMedicaid
NCJ972OtherCIGNA
NC891080EMedicaid
TN4046636Medicaid
NC2243588AMedicare ID - Type Unspecified