Provider Demographics
NPI:1285758706
Name:ADKINS, EDWARD E JR (HHCP)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:E
Last Name:ADKINS
Suffix:JR
Gender:M
Credentials:HHCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 HALSTEAD BLVD
Mailing Address - Street 2:SUITE # E
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-7036
Mailing Address - Country:US
Mailing Address - Phone:252-337-7500
Mailing Address - Fax:252-337-7400
Practice Address - Street 1:918 HALSTEAD BLVD
Practice Address - Street 2:SUITE # E
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-7036
Practice Address - Country:US
Practice Address - Phone:252-337-7500
Practice Address - Fax:252-337-7400
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC778174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist