| Doctor Name: | SHANNON PATRICK ADAMS |
| NPI Number: | 1952482853 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. / M.S. |
| License Number: | 0102201902 |
| Business Practice Address: | 620 John Paul Jones Cir Nmcp - Psych Dept Admin Office - Bldg #3 - Floor #1 Portsmouth, VA - 237082197 |
| Business Phone Number: | 6026926944 |
| Business Fax Number: | 7579536907 |
| Mailing Address: | 620 John Paul Jones Cir, Nmcp - Psych Dept Admin Office - Bldg #3 - Floor #1 PORTSMOUTH |
| State: | VA |
| Postal Code: | 237082197 |
| Phone Number: | 6026926944 |
| Fax Number: | 7579536907 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0102201902 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |