MEDICARE: DR. MEAGIN SUMRALL DC

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	4659	NC

General Provider Information

NPI Number	:	1427582998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEAGIN SUMRALL DC

Provider Business Mailing Address
First Line	:	478 HOUSTON RD
Second Line	:
City	:	COLUMBUS
State	:	NC
Zip	:	28722-4467
Country	:	US
Telephone Number	:	828-818-1743
Fax Number	:

Provider Business Practice Location Address
First Line	:	478 HOUSTON RD
Second Line	:
City	:	COLUMBUS
State	:	NC
Zip	:	28722-4467
Country	:	US
Telephone Number	:	828-818-1743
Fax Number	:

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

Provider Enumeration Date	:	04/11/2017
Last Update Date	:	04/28/2023

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