Adams, Mary M

Adams, Mary M is an individual health care provider with primary practice located at 3603 Bienville Blvd Ste 102 , Ocean Springs MS 39564-5736. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Adams, Mary M can be contacted via phone (228) 818-9620.

Contact Information

Primary practice address
3603 Bienville Blvd Ste 102 Ocean Springs MS 39564-5736
Phone: (228) 818-9620
Fax: (228) 818-9750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00637 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00637 Mississippi

Profile Details

NPI number 1104570738
LBN Legal business name Adams, Mary M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2022
Last updated May 10th, 2023 - about 2 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 1104570738 NPPES
Mississippi MEDICAID 00088561

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