Provider Demographics
NPI:1154305548
Name:ADAMS, ROBERT STARK JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:STARK
Last Name:ADAMS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1600 PERIMETER PARK DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6905 KNIGHTDALE BLVD
Practice Address - Street 2:STE 106
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-6505
Practice Address - Country:US
Practice Address - Phone:919-261-8760
Practice Address - Fax:919-261-8765
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2013-07-09
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Provider Licenses
StateLicense IDTaxonomies
NC9401111207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5905136Medicaid
NC2265809AMedicare PIN
NCNC1189AMedicare PIN