Provider Demographics
NPI:1134394349
Name:ADAMS, NATHAN HENRY (CFA)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:HENRY
Last Name:ADAMS
Suffix:
Gender:M
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 UPPER BRUSH CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730-9208
Mailing Address - Country:US
Mailing Address - Phone:828-545-6464
Mailing Address - Fax:
Practice Address - Street 1:1217 UPPER BRUSH CREEK RD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:NC
Practice Address - Zip Code:28730-9208
Practice Address - Country:US
Practice Address - Phone:828-545-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC107923246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant