Provider Demographics
NPI:1255351805
Name:ADKINS, HEATHER DENISE (MD)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:DENISE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12022
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27709-2022
Mailing Address - Country:US
Mailing Address - Phone:919-907-2377
Mailing Address - Fax:984-219-7530
Practice Address - Street 1:1910 SEDWICK RD
Practice Address - Street 2:SUITE 400 A
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7807
Practice Address - Country:US
Practice Address - Phone:919-907-2377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD426122084N0400X
NC2006-011032084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3000795Medicare PIN
TNI73338Medicare UPIN