Provider Demographics
NPI:1396772752
Name:MCADAMS, LOU ANN (MD)
Entity type:Individual
Prefix:DR
First Name:LOU ANN
Middle Name:
Last Name:MCADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7510 SETON HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-4513
Mailing Address - Country:US
Mailing Address - Phone:704-578-3682
Mailing Address - Fax:704-841-8879
Practice Address - Street 1:113 N AMES ST
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5639
Practice Address - Country:US
Practice Address - Phone:704-841-8882
Practice Address - Fax:704-841-8879
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9900600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8950026Medicaid
NC8950026Medicaid
NC207951BMedicare ID - Type Unspecified