Adelia Lee Birdwell, PA-C
Physician Assistant in Lebanon, TN. Individual provider (NPI-1).
NPI number1750145330
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1750145330
- Entity type
- Individual (NPI-1)
- Name
- Adelia Lee Birdwell
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2024
- Certification date
- Aug 26, 2024
- Last updated
- Aug 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5893 | TN | Yes |
Practice location
1407 W Baddour PkwyLebanon, TN 37087-2513
Phone 615-444-6203
Mailing address
1407 W Baddour PkwyLebanon, TN 37087-2513
Phone 615-444-6203
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All 38 Physician Assistant providers in Lebanon · All 1,094 providers in Lebanon
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