Provider Demographics
NPI:1932930484
Name:ADAMS, TAMEKA S (DPC)
Entity type:Individual
Prefix:DR
First Name:TAMEKA
Middle Name:S
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DPC
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Mailing Address - Street 1:313 GLEN CANYON DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-3110
Mailing Address - Country:US
Mailing Address - Phone:910-916-5584
Mailing Address - Fax:
Practice Address - Street 1:500 N REILLY RD STE 122
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-2452
Practice Address - Country:US
Practice Address - Phone:910-912-3801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCC658601744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management