Healthcare Provider Details

I. General information

NPI: 1851977961
Provider Name (Legal Business Name): TIMOTHY CHRISTOPHER ADKINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2021
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 4TH ST
DANVILLE WV
25053-4632
US

IV. Provider business mailing address

101 STADIUM DR
MORGANTOWN WV
26506-7911
US

V. Phone/Fax

Practice location:
  • Phone: 304-369-8839
  • Fax:
Mailing address:
  • Phone: 304-598-4850
  • Fax: 304-598-4871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number31940
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: