Provider Demographics
NPI:1235494287
Name:MCHONE, ADAM J (NP-C)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:J
Last Name:MCHONE
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Gender:M
Credentials:NP-C
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Mailing Address - Street 1:830 ROCKFORD ST
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-5322
Mailing Address - Country:US
Mailing Address - Phone:336-719-7000
Mailing Address - Fax:336-789-5495
Practice Address - Street 1:830 ROCKFORD ST
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-5322
Practice Address - Country:US
Practice Address - Phone:336-786-6068
Practice Address - Fax:336-789-5495
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2015-06-30
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Provider Licenses
StateLicense IDTaxonomies
NC5005666363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5005666OtherLICENSE #