Healthcare Provider Details

I. General information

NPI: 1114221116
Provider Name (Legal Business Name): HARVEY ADAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2011
Last Update Date: 01/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LEXINGTON RD
ASHEBORO NC
27205-4362
US

IV. Provider business mailing address

200 LEXINGTON RD
ASHEBORO NC
27205-4362
US

V. Phone/Fax

Practice location:
  • Phone: 336-625-5848
  • Fax:
Mailing address:
  • Phone: 336-625-5848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number10061
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: