1710174230 NPI number — MRS. MEGAN ELIZABETH DAY PT

Table of content: KAMYLA GRIFFIN (NPI 1841842267)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710174230 NPI number — MRS. MEGAN ELIZABETH DAY PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAY
Provider First Name:
MEGAN
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SELLERS
Provider Other First Name:
MEGAN
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1710174230
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/29/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
86 FRANCES ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ASHEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28806-4411
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-966-9036
Provider Business Mailing Address Fax Number:
828-966-4538

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
222 JACOBS LADDER
Provider Second Line Business Practice Location Address:
DARMA, LLC
Provider Business Practice Location Address City Name:
PISGAH FOREST
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28768-6703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-966-9036
Provider Business Practice Location Address Fax Number:
828-966-4538
Provider Enumeration Date:
09/28/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  P11298 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)