Adams, Gwendolyn Eleanor

Adams, Gwendolyn Eleanor is an individual health care provider with primary practice located at 2422 Danville Road Suite E, Decatur AL 35603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Adams, Gwendolyn Eleanor can be contacted via phone (256) 355-9040.

Contact Information

Primary practice address
2422 Danville Road Suite E Decatur AL 35603
Phone: (256) 355-9040
Fax: (256) 355-9048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 847 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.847 Alabama

Profile Details

NPI number 1972856995
LBN Legal business name Adams, Gwendolyn Eleanor
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2012
Last updated Oct 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972856995 NPPES
Alabama Other 1063439065 MAIN GROUP NPI PAYEE NUMBER
Alabama Other 011846 MAIN GROUP NPI PAYEE NUMBER
Alabama MEDICAID 630000013 MAIN GROUP NPI PAYEE NUMBER

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