Provider Demographics
NPI:1346432408
Name:GRIES, ADAM E (DACM LAC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:E
Last Name:GRIES
Suffix:
Gender:M
Credentials:DACM LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8352 SIX FORKS RD
Mailing Address - Street 2:STE. 203
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3054
Mailing Address - Country:US
Mailing Address - Phone:919-909-7819
Mailing Address - Fax:
Practice Address - Street 1:8352 SIX FORKS RD
Practice Address - Street 2:STE. 203
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3054
Practice Address - Country:US
Practice Address - Phone:919-909-7819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC855171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist