Doctor Name: | PRENTISS WAYNE ADKINS |
NPI Number: | 1174528772 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | C2-0002872 |
Business Practice Address: | 29475 Vines Creek Rd Dagsboro, DE - 199393839 |
Business Phone Number: | 3027329593 |
Business Fax Number: | 3027329598 |
Mailing Address: | 29475 Vines Creek Rd, DAGSBORO |
State: | DE |
Postal Code: | 199393839 |
Phone Number: | 3027329593 |
Fax Number: | 3027329598 |
NPI Enumeration Date: | 06/20/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | C2-0002872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |