Organization
DAGSBORO FAMILY PRACTICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRENTISS WAYNE ADKINS SR. D.O. (PRESIDENT)
(302) 732-9593
Entity
Organization
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
207Q00000X
Family Medicine Physician
Primary
C2-0002872
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000033073
—
DE
Enumeration date
01/30/2006
Last updated
10/17/2007
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