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General NPI Number Information
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NPI Number | 1841685112
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Entity Type | Individual
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Provider Name | JOSEPH WALTER ADAMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 804 ENGLISH RD STE 100
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-6027
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Country | US
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Telephone | 252-443-3133
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Fax | 252-443-6726
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Provider Business Mailing Address
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Address Line | 804 ENGLISH RD STE 100
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-6027
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Country | US
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Telephone | 252-443-3133
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Fax | 252-443-6726
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 50570
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2024-00240
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License Number State | NC
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