Provider Demographics
NPI:1841281243
Name:ADAMS, GREGORY LYNN (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:LYNN
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:579 GREENWAY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4809
Mailing Address - Country:US
Mailing Address - Phone:828-262-0100
Mailing Address - Fax:828-264-7592
Practice Address - Street 1:579 GREENWAY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4809
Practice Address - Country:US
Practice Address - Phone:828-262-0100
Practice Address - Fax:828-264-7592
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2011-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC30583208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10345OtherFEDERAL EMPLOYEES
NC62308-NOCDOtherCIGNA
NC10345OtherBLUE CROSS/BLUE SHIELD
NC20073OtherMEDCOST
NC10345OtherSTATE HEALTH PLAN
NC10345OtherNC HEALTH CHOICE
NC12-71031OtherUNITED HEALTH CARE
NC8910345Medicaid
NC8910345Medicaid