Individual
PRENTISS WAYNE ADKINS SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
29475 VINES CREEK RD, DAGSBORO, DE 19939-3839
(302) 732-9593
(302) 732-9598
Mailing address
29475 VINES CREEK RD, DAGSBORO, DE 19939-3839
(302) 732-9593
(302) 732-9598
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
C2-0002872
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000167603
—
DE
01
—
210214
COVENTRY
DE
01
—
2126367
MAMSI
DE
01
—
52367105
CAREFIRST MD
DE
01
—
876323
AETNA
DE
Enumeration date
06/20/2005
Last updated
07/08/2007
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