MEDICARE: KMEG RESOURCE CORP PA

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1730248865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KMEG RESOURCE CORP PA

Provider Business Mailing Address
First Line	:	PO BOX 427
Second Line	:
City	:	KINGS MOUNTAIN
State	:	NC
Zip	:	28086
Country	:	US
Telephone Number	:	704-739-5610
Fax Number	:	704-739-4556

Provider Business Practice Location Address
First Line	:	827 EAST KING STREET
Second Line	:
City	:	KINGS MTN
State	:	NC
Zip	:	28086
Country	:	US
Telephone Number	:	704-739-5610
Fax Number	:	704-739-4556

Authorized Official
Title or Position	:	CEO PRESIDENT
Name	:	MICHAEL L ADIX
Credential	:	DO
Telephone Number	:	704-739-5610

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1962450098 — POOLE EYECARE PA
Practice Location Address:

808 W KING ST
KINGS MTN, NC
28086-2748

Practice Phone: 704-739-5581
Practice Fax: 704-739-0000

1306889761 — MR. DEWEY TRUMAN MATHERLY LCSW
Practice Location Address:

151 KINGS CREST CT
KINGS MTN, NC
28086-8218

Practice Phone: 704-730-8295
Practice Fax: 704-730-8295

1720142847 — BRIDGEBUILDERS
Practice Location Address:

606 HILLSIDE DR
KINGS MTN, NC
28086-3219

Practice Phone: 704-864-4623
Practice Fax: 704-864-3331

1720123862 — CAROLINA MEDICAL SUPPLY LLC
Practice Location Address:

1802 SHELBY RD
KINGS MTN, NC
28086-8900

Practice Phone: 704-730-9500
Practice Fax: 704-730-9501

1992919948 — FOCUS POINT INC
Practice Location Address:

129 MILL CREEK DR
KINGS MTN, NC
28086-3898

Practice Phone: 704-363-1309
Practice Fax: 704-782-9299

1639408248 — SELF-DETERMINATION LLC
Practice Location Address:

103 EBENEZER RD
KINGS MTN, NC
28086

Practice Phone: 704-750-4752
Practice Fax: 704-750-4753

Directions to “KMEG RESOURCE CORP PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.