Individual
DR. ELVIN EUGENE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/MPH
Contact information
Practice address
1444 S 17TH ST, WILMINGTON, NC 28401-6436
(910) 793-4311
(910) 793-4322
Mailing address
1444 S 17TH ST, WILMINGTON, NC 28401-6436
(910) 793-4311
(910) 793-4322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20993
NC
207R00000X
Internal Medicine Physician
F2519
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J33T
MEDICARE GROUP #
TX
05
—
0831497-02
—
TX
01
—
0831521-02
MEDICAID GROUP BASE #
TX
05
—
0983439-03
—
TX
05
—
0983439-04
—
TX
05
—
1497752554
—
NC
Enumeration date
07/05/2005
Last updated
12/17/2018
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