Individual
SHANNON SHANELL ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 MOUNT OLIVET RD, MARTINSVILLE, VA 24112-6033
(276) 634-7388
(276) 632-7693
Mailing address
1150 MOUNT OLIVET RD, MARTINSVILLE, VA 24112-6033
(276) 634-7388
(276) 632-7693
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178641319
—
VA
Enumeration date
10/12/2015
Last updated
10/31/2016
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