Individual
LISA M ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 W STONE DR STE 4B, KINGSPORT, TN 37660-3365
(423) 578-1570
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1794
TN
363AM0700X
Medical Physician Assistant
1794
TN
363AS0400X
Surgical Physician Assistant
1794
TN
Other
Enumeration date
01/18/2010
Last updated
06/29/2023
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