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Dr. Charles Pulliam Adams JR., MD
Specialist in Jacksonville, Florida
NPI 1710917950

Charles Pulliam Adams JR. is a Specialist based in Jacksonville, FL. Charles Pulliam Adams JR. practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Charles Pulliam Adams JR. is 1710917950 and holds a License No. ME0045165 (Florida).

The current practice location address for Charles Pulliam Adams JR. is 1034 Riverside Ave, Jacksonville, FL and can be reached out via phone at 904-354-2114 and via fax at 904-354-2122.

Location: 1034 Riverside Ave, Jacksonville, FL, 32204-4123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710917950
Provider Name
Charles Pulliam Adams JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1034 Riverside Ave, Jacksonville, FL, 32204-4123
Phone Number
904-354-2114
Fax Number
904-354-2122
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15929 01 FL BCBS
00963608A 05 GA
041611800 05 FL
institution
Provider Business Practice Location Address Details
Address
1034 Riverside Ave
City
Jacksonville
State
Florida
Zip
32204-4123
Phone Number
904-354-2114
Fax Number
904-354-2122
person
Provider Business Mailing Address Details
Address
1034 Riverside Ave
City
Jacksonville
State
Florida
Zip
32204-4123
Phone Number
904-354-2114
Fax Number
904-354-2122
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0045165 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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