Mitchell Adams, PA
Individual provider Active NPI Physician Assistant · North Wilkesboro, NC
NPI 1457731028 · NPPES record last updated Jun 9, 2015
Key facts
- NPI
- 1457731028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1370 W D St
North Wilkesboro, NC 28659-3506 - Phone
- (336) 651-8100
- NPI assigned
- Jun 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1370 W D St
North Wilkesboro, NC 28659-3506
Mailing address
445 Gulf Shore Dr
Unit 5
Destin, FL 32541-5005
Phone (407) 403-0434
Other providers in North Wilkesboro, NC
- Holly Johnson Absher
- Raye Lynn Absher
- Alexa Gregory Achor
- Kinley Morgan Adams
- Laura Hawkins Adams
- Addus Healthcare (South Carolina), Inc.
- Tolulola Omololu Adeola
- Ademola Olubusola Aderoju
- Adult Enrichment Services of Wilkes
- Longinus Olewuike Agor
All providers in North Wilkesboro, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.