MEDICARE: DR. MEGAN ELIZABETH BANDISH SHIRLEY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC010017	PA
2	111N00000X	Chiropractor	30694	CA
3	111N00000X	Chiropractor	4829	NC

General Provider Information

NPI Number	:	1245425560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN ELIZABETH BANDISH SHIRLEY D.C.

Provider Business Mailing Address
First Line	:	PO BOX 535
Second Line	:
City	:	HAMPSTEAD
State	:	NC
Zip	:	28443-0535
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11243A US HIGHWAY 17
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28411-6867
Country	:	US
Telephone Number	:	910-620-1367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	06/02/2026

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