Individual
MRS. GWENDOLYN ELEANOR ADAMS
Active
Individual
MRS. GWENDOLYN ELEANOR ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 847
AL
363AM0700X
Medical Physician Assistant
Primary
PA.847
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MAIN GROUP MEDICARE NUMBER
AL
01
—
1063439065
MAIN GROUP NPI PAYEE NUMBER
AL
05
—
630000013
—
AL
Enumeration date
10/16/2012
Last updated
08/07/2025
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