Individual
DEAN ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(866) 754-3852
(205) 313-5245
Mailing address
108 CEDAR GREEN DR, CANTON, MS 39046-3367
(601) 826-8923
(205) 313-5245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA00065
MS
363AM0700X
Medical Physician Assistant
Primary
PA065
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01027725
—
MS
05
—
1452033
—
LA
Enumeration date
07/21/2006
Last updated
10/08/2009
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