Healthcare Provider Details

I. General information

NPI: 1891975165
Provider Name (Legal Business Name): ROBERT M ADAMS MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 07/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 MILITARY CUTOFF RD SUITE 120
WILMINGTON NC
28405-2375
US

IV. Provider business mailing address

710 MILITARY CUTOFF RD SUITE 120
WILMINGTON NC
28405-2375
US

V. Phone/Fax

Practice location:
  • Phone: 910-254-4818
  • Fax: 910-254-4819
Mailing address:
  • Phone: 910-254-4818
  • Fax: 910-254-4819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT MCLAIN ADAMS IV
Title or Position: PRESIDENT
Credential: M.D.
Phone: 910-795-7301