Provider Demographics
NPI:1073114351
Name:ADAMS, WILLIAM DAVIS
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DAVIS
Last Name:ADAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOPE
Mailing Address - State:WV
Mailing Address - Zip Code:25880-9310
Mailing Address - Country:US
Mailing Address - Phone:304-552-3880
Mailing Address - Fax:
Practice Address - Street 1:376 MAPLE LN
Practice Address - Street 2:
Practice Address - City:MOUNT HOPE
Practice Address - State:WV
Practice Address - Zip Code:25880-9310
Practice Address - Country:US
Practice Address - Phone:304-552-3880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant