Healthcare Provider Details

I. General information

NPI: 1598968224
Provider Name (Legal Business Name): ADAM Z VOORHEES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 05/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 MEDICAL DR
FAYETTEVILLE NC
28304-4425
US

IV. Provider business mailing address

1301 MEDICAL DR
FAYETTEVILLE NC
28304-4425
US

V. Phone/Fax

Practice location:
  • Phone: 910-486-5700
  • Fax: 910-486-5950
Mailing address:
  • Phone: 910-486-5700
  • Fax: 910-486-5950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number045328
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: