Individual
CECIL BENJAMIN ADAMS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8040
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 873-9533
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236693
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
236693
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891181715
TRICARE
NC
05
—
1897781715
—
NC
01
—
P01551122
RAILROAD MEDICARE
NC
Enumeration date
04/07/2015
Last updated
03/17/2018
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