Provider Demographics
NPI:1992567986
Name:PETER O ADAMSON DBA DDD ENTERPRISE, LLC
Entity type:Organization
Organization Name:PETER O ADAMSON DBA DDD ENTERPRISE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-493-5062
Mailing Address - Street 1:3547 N SHARON AMITY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-2976
Mailing Address - Country:US
Mailing Address - Phone:704-493-5062
Mailing Address - Fax:
Practice Address - Street 1:3547 N SHARON AMITY RD STE 300
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-2976
Practice Address - Country:US
Practice Address - Phone:704-493-5062
Practice Address - Fax:704-831-5262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PETER O ADAMSON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)