Provider Demographics
NPI:1578543955
Name:ADAMS, FREDERICK F III (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:F
Last Name:ADAMS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1631
Mailing Address - Country:US
Mailing Address - Phone:864-582-5099
Mailing Address - Fax:864-327-1098
Practice Address - Street 1:322 N PINE ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1631
Practice Address - Country:US
Practice Address - Phone:864-582-5099
Practice Address - Fax:864-327-1098
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC9397207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCC873658516OtherMEDICARE
SC093972Medicaid
SCP00319333OtherRAIL ROAD MEDICARE
SC20053692OtherSELECT HEALTH
NC8905000Medicaid
SC093972Medicaid