MEDICARE: ADKINS HEADACHE CENTER PLLC

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	2006-01103	NC

General Provider Information

NPI Number	:	1760924104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADKINS HEADACHE CENTER PLLC

Provider Business Mailing Address
First Line	:	1112 PROFESSOR PL
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-6099
Country	:	US
Telephone Number	:
Fax Number	:

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	:	984-219-7530

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	HEATHER ADKINS
Credential	:	MD
Telephone Number	:	919-314-7747

Provider Enumeration Date	:	11/16/2016
Last Update Date	:	03/25/2017

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