MEDICARE: STEPHEN RUMMAGE L.AC.

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	171100000X	Acupuncturist	508	NC

General Provider Information

NPI Number	:	1629725569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN RUMMAGE L.AC.

Provider Business Mailing Address
First Line	:	7206 AUSTIN SMILES CT STE 102
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-0517
Country	:	US
Telephone Number	:	704-483-5441
Fax Number	:

Provider Business Practice Location Address
First Line	:	7206 AUSTIN SMILES CT STE 102
Second Line	:
City	:	DENVER
State	:	NC
Zip	:	28037-0517
Country	:	US
Telephone Number	:	704-483-5441
Fax Number	:

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

Provider Enumeration Date	:	03/09/2022
Last Update Date	:	03/09/2022

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Directions to “ STEPHEN RUMMAGE L.AC.” Practice Location

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