Individual
MARI E ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
(434) 447-3151
(804) 828-4762
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002244
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110002244
VA LICENSE
VA
Enumeration date
03/20/2006
Last updated
05/30/2024
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