Provider Demographics
NPI:1851550206
Name:GOLD, ADAM NATHANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:NATHANIEL
Last Name:GOLD
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:6546 HAMPTON ROADS PKWY
Mailing Address - Street 2:STE 112
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3185
Mailing Address - Country:US
Mailing Address - Phone:757-296-2225
Mailing Address - Fax:757-977-1039
Practice Address - Street 1:11842 ROCK LANDING DR
Practice Address - Street 2:SUITE 110
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4437
Practice Address - Country:US
Practice Address - Phone:757-873-9580
Practice Address - Fax:757-873-9050
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2020-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0104556734111N00000X
NC3866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor