=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043165467
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIGN, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2026
-----------------------------------------------------
Last Update Date | 03/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 301 CAMP RD STE 105
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28206-3577
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-444-0807
-----------------------------------------------------
Fax | 704-973-0733
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 301 CAMP RD STE 105
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28206-3577
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-444-0807
-----------------------------------------------------
Fax | 704-973-0733
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | LISA TWEARDY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 704-444-0807
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------