Provider Demographics
NPI:1023195302
Name:PALMER, ADAM WOOD (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:WOOD
Last Name:PALMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 7TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALTAVISTA
Mailing Address - State:VA
Mailing Address - Zip Code:24517-1603
Mailing Address - Country:US
Mailing Address - Phone:434-369-1015
Mailing Address - Fax:434-369-1017
Practice Address - Street 1:901 7TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:ALTAVISTA
Practice Address - State:VA
Practice Address - Zip Code:24517-1603
Practice Address - Country:US
Practice Address - Phone:434-369-1015
Practice Address - Fax:434-369-1017
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001965111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA440426OtherANTHEM ALTAVISTA OFFICE
VA174114OtherANTHEM LYNCHBURG OFFICE
VA440426OtherANTHEM ALTAVISTA OFFICE