Individual
MRS. CORINNE M ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
GRAND STAND PEDIATRICS, 8120 ROURK STREET, MYRTLE BEACH, SC 29572
(843) 449-1438
(843) 206-1349
Mailing address
GRAND STAND PEDIATRICS, 8120 ROURK STREET, MYRTLE BEACH, SC 29572
(843) 449-1438
(843) 206-1349
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0110001977
VA
208000000X
Pediatrics Physician
Primary
3262
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001977
DEPT OF HEALTH PROFESSION
VA
Enumeration date
04/30/2007
Last updated
08/14/2019
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