Provider Demographics
NPI:1952923914
Name:ADAMS, SYDNEY LUCILLE HUGHES
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:LUCILLE HUGHES
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:LUCILLE
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:928 2ND ST SW APT 1
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-4420
Mailing Address - Country:US
Mailing Address - Phone:423-946-3054
Mailing Address - Fax:
Practice Address - Street 1:928 2ND ST SW APT 1
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-4420
Practice Address - Country:US
Practice Address - Phone:423-946-3054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant