Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 57.022223 | OH |
N | 207VE0102X | Reproductive Endocrinologist | 57.022223 | OH |
NPI | 1235455403 |
---|---|
Provider Name | Shannel R Adams |
First Address | West Chester, OH 45069-2509 |
Second Address | West Chester, OH 45069-2509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 01/07/2014 |