Provider Demographics
NPI:1669846622
Name:D DUNCAN SUMPTER PC
Entity Type:Organization
Organization Name:D DUNCAN SUMPTER PC
Other - Org Name:APPALACHIAN COMMUNITY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL RECORDS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:LANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-837-0071
Mailing Address - Street 1:750 W US HIGHWAY 64
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-8115
Mailing Address - Country:US
Mailing Address - Phone:828-837-0071
Mailing Address - Fax:
Practice Address - Street 1:532 MOOSE BRANCH RD
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28771-7804
Practice Address - Country:US
Practice Address - Phone:828-837-0071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-13
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3314251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3410054Medicaid
NC3410054Medicaid