Provider Demographics
NPI:1740795921
Name:TOMBERLIN, MEGAN E (DC)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:E
Last Name:TOMBERLIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 OLDE WATERFORD WAY
Mailing Address - Street 2:STE 118
Mailing Address - City:BELVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28451-4208
Mailing Address - Country:US
Mailing Address - Phone:910-859-8359
Mailing Address - Fax:
Practice Address - Street 1:473 OLDE WATERFORD WAY STE 118
Practice Address - Street 2:
Practice Address - City:BELVILLE
Practice Address - State:NC
Practice Address - Zip Code:28451-4208
Practice Address - Country:US
Practice Address - Phone:910-859-8359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-09
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor