Individual
PATRICIA LEE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
19305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10330
BCBS
—
01
—
20082
MEDCOST
—
05
—
221975000
—
WV
01
—
4349
PARTNERS
—
01
—
5538094
AETNA
—
05
—
6025307
—
VA
05
—
8910330
—
NC
05
—
Q19305
—
SC
Enumeration date
12/09/2005
Last updated
10/12/2010
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