Individual
MRS. HEATHER ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 EAGLE WAY, SOUTH CHARLESTON, WV 25309-2014
(540) 553-5080
Mailing address
1532 15TH ST, NITRO, WV 25143-1827
(540) 553-5080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1006
WV
Other
Enumeration date
04/26/2015
Last updated
04/26/2015
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