Provider Demographics
NPI:1437119138
Name:ADAMS, PATRICIA DEERY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:DEERY
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:602 BLANTON PL
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-3173
Mailing Address - Country:US
Mailing Address - Phone:336-282-1090
Mailing Address - Fax:704-638-3405
Practice Address - Street 1:1601 BRENNER AVENUE
Practice Address - Street 2:VAMC
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144
Practice Address - Country:US
Practice Address - Phone:704-638-9000
Practice Address - Fax:704-638-3405
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC100399363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant