Healthcare Provider Details

I. General information

NPI: 1558733188
Provider Name (Legal Business Name): D DUNCAN SUMPTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2015
Last Update Date: 12/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 MOOSE BRANCH RD
ROBBINSVILLE NC
28771-0000
US

IV. Provider business mailing address

750 W US HIGHWAY 64
MURPHY NC
28906-8115
US

V. Phone/Fax

Practice location:
  • Phone: 828-837-0071
  • Fax:
Mailing address:
  • Phone: 828-837-0071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number3314
License Number StateNC

VIII. Authorized Official

Name: DEB LANCE
Title or Position: MEDICAL RECORDS MANAGER
Credential:
Phone: 828-837-0071