MEDICARE: MRS. HEATHER DENISE ADKINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	MD42612	TN
2	2084N0400X	Neurology Physician	2006-01103	NC

General Provider Information

NPI Number	:	1255351805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER DENISE ADKINS MD

Provider Business Mailing Address
First Line	:	PO BOX 12022
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27709-2022
Country	:	US
Telephone Number	:	919-907-2377
Fax Number	:	984-219-7530

Provider Business Practice Location Address
First Line	:	1910 SEDWICK RD
Second Line	:	SUITE 400 A
City	:	DURHAM
State	:	NC
Zip	:	27713-7807
Country	:	US
Telephone Number	:	919-907-2377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	06/11/2019

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