Provider Demographics
NPI:1477830206
Name:MEYLOR, ADAM DEAN (DC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:DEAN
Last Name:MEYLOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 N CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-2825
Mailing Address - Country:US
Mailing Address - Phone:336-996-3737
Mailing Address - Fax:336-996-3366
Practice Address - Street 1:205 N CHERRY ST
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-2825
Practice Address - Country:US
Practice Address - Phone:336-996-3738
Practice Address - Fax:336-996-3366
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4231111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor