Most Relevant Information
Provider Data
| NPI Number: | 1003372194 |
| Provider Name: | ADAM C HARGIS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11001492 |
Most Important Dates
| Enumeration Date: | 02/14/2019 |
| Last Updated: | 02/27/2019 |
Provider Practice Location
151 E REDSTONE AVE
CRESTVIEW
FL
325395352
Practice Location Phone/Fax
| Phone: | 8596698100 |
| Fax: |
Provider Mailing Location
5845 BETHELRIDGE CIR
CRESTVIEW
FL
325369356
Provider Mailing Phone/Fax
| Phone: | 8508262971 |
| Fax: |