Individual
ADAM C HARGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
151 E REDSTONE AVE, CRESTVIEW, FL 32539-5352
(859) 669-8100
Mailing address
5845 BETHELRIDGE CIR, CRESTVIEW, FL 32536-9356
(850) 826-2971
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11001492
FL
Other
Enumeration date
02/14/2019
Last updated
02/27/2019
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