Individual provider · NPI-1

Brandon Wayne Adams, PA-C

Physician Assistant · Wilson, NC

NPI number1821455031
StatusActive
Last updated in NPPESJan 19, 2016

Details

NPI
1821455031
Entity type
Individual (NPI-1)
Name
Brandon Wayne Adams
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Jan 19, 2016
Last updated
Jan 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant0010-06178NCYes

Practice location

1803 Forest Hills Rd W
Wilson, NC 27893-3412

Phone 252-243-9629 · Fax 252-243-0915

Mailing address

120 William Penn Plz
Durham, NC 27704-2150

Phone 919-220-5255 · Fax 919-313-1276

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