Provider Demographics
NPI:1154667962
Name:ADAMS, JASON COMFORT-STARR (PA)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:COMFORT-STARR
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 N HALE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-4013
Mailing Address - Country:US
Mailing Address - Phone:910-273-3225
Mailing Address - Fax:
Practice Address - Street 1:HSC 6TH BN 2D SFAB
Practice Address - Street 2:BLDG H-5626
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-273-3225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-26
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant