Healthcare Provider Details

I. General information

NPI: 1639479017
Provider Name (Legal Business Name): D. DUNCAN SUMPTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2010
Last Update Date: 07/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1482 RUSS AVE
WAYNESVILLE NC
28786-4143
US

IV. Provider business mailing address

PO BOX 444
MURPHY NC
28906-0444
US

V. Phone/Fax

Practice location:
  • Phone: 828-452-1395
  • 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 Number
License Number State

VIII. Authorized Official

Name: DEB LANCE
Title or Position: ADMIN
Credential:
Phone: 828-837-0071