Provider Demographics
NPI:1326051590
Name:ADAMS, DAVID PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAUL
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 KILDAIRE PARK DRIVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518
Mailing Address - Country:US
Mailing Address - Phone:919-233-0410
Mailing Address - Fax:919-233-0872
Practice Address - Street 1:115 KILDAIRE PARK DRIVE
Practice Address - Street 2:SUITE 301
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518
Practice Address - Country:US
Practice Address - Phone:919-233-0410
Practice Address - Fax:919-233-0872
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9300404207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC080148643OtherRAILROAD MEDICARE PROVIDE
NC8910196Medicaid
NC562105848OtherTIN#
NCG12043Medicare UPIN
NC2216803DMedicare PIN