Individual
GREGORY SCOTT ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
1970 ROANOKE BLVD, VA MEDICAL CENTER, SALEM, VA 24153
(540) 982-2463
(540) 224-1937
Mailing address
1218 FLOYD AVE SW, ROANOKE, VA 24015-2529
(215) 519-3535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052729
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0003142
MEDICAL LICENSE
MD
01
—
MA052729
MEDICAL LICENSE
PA
Enumeration date
12/07/2006
Last updated
03/29/2013
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