Provider Demographics
NPI:1972991610
Name:FRANKS, ADAM
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:FRANKS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 EDWARDS MILL RD STE 112-398
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4275
Mailing Address - Country:US
Mailing Address - Phone:919-878-1819
Mailing Address - Fax:
Practice Address - Street 1:3434 EDWARDS MILL RD STE 112-398
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-4275
Practice Address - Country:US
Practice Address - Phone:919-878-1819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-05424363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical