Provider Demographics
NPI:1780965830
Name:ADAMS, OPHELIA DENISE (DC)
Entity type:Individual
Prefix:DR
First Name:OPHELIA
Middle Name:DENISE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925A OLEANDER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2334
Mailing Address - Country:US
Mailing Address - Phone:910-386-8588
Mailing Address - Fax:910-763-7845
Practice Address - Street 1:1925A OLEANDER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-2334
Practice Address - Country:US
Practice Address - Phone:910-386-8588
Practice Address - Fax:910-763-7845
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4215111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor