Individual
DUSTIN G ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3200 MACCORKLE AVE SE, SUITE B16, CHARLESTON, WV 25304-1227
(304) 388-5848
(304) 388-9654
Mailing address
PO BOX 1320, SAINT ALBANS, WV 25177-1320
(304) 388-1724
(304) 388-1721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01209
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WV
Enumeration date
09/16/2006
Last updated
05/15/2014
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