Provider Demographics
NPI:1376821918
Name:NEWCOMB, ADAM (CNIM)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:NEWCOMB
Suffix:
Gender:M
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 MADDRY OAKS CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-3156
Mailing Address - Country:US
Mailing Address - Phone:919-256-1805
Mailing Address - Fax:919-256-1806
Practice Address - Street 1:6100 MADDRY OAKS CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-3156
Practice Address - Country:US
Practice Address - Phone:919-256-1805
Practice Address - Fax:919-256-1806
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic