Individual provider · NPI-1
Taylor Nicole Adam
Physician Assistant · Charleston, SC
NPI number1902576929
StatusActive
Last updated in NPPESJun 8, 2026
Details
- NPI
- 1902576929
- Entity type
- Individual (NPI-1)
- Name
- Taylor Nicole Adam
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2021
- Certification date
- Jun 8, 2026
- Last updated
- Jun 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 6208 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 363A00000X | Physician Assistant | 11457 | GA |
Practice location
316 Calhoun StCharleston, SC 29401-1113
Phone 843-720-8490 · Fax 843-727-3602
Mailing address
Po Box 751649Charlotte, NC 28275-1649
Phone 888-472-0043 · Fax 843-724-2440
Other practice locations
1462 Clifton Rd Ne Ste 280
Atlanta, GA 30322-1063
Atlanta, GA 30322-1063
Phone 404-727-7857
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