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Adam Abbott

NPI Registration Record

Provider / OrganizationNPIDate Certified
ADAM ABBOTT13761587412020-09-12
Entity TypeIndividual
Provider Name Adam Abbott
Practice Office Address700 NORTHSIDE DR
SUMMERSVILLE, WV US
Practice Office Telephone3048724980
Practice Office Fax3048720154
Mailing Address700 NORTHSIDE DR
SUMMERSVILLE, WV 266511079 US
Business Telephone3048724980
Business Fax3048720154
HPT Codes
CodeLicense NoState
183500000X PRIMARYRP0010170 WV
OPI Codes

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