Healthcare Provider Details

I. General information

NPI: 1649617416
Provider Name (Legal Business Name): ADAM PFLUM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2013
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 PHYSICIANS DR
WILMINGTON NC
28401-7338
US

IV. Provider business mailing address

PO BOX 936857
ATLANTA GA
31196-6857
US

V. Phone/Fax

Practice location:
  • Phone: 910-662-9500
  • Fax: 910-662-9501
Mailing address:
  • Phone: 910-662-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2017-00615
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number2017-00615
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: