Provider Demographics
NPI:1053615047
Name:MEYLOR FAMILY CHIROPRACTIC, PC
Entity type:Organization
Organization Name:MEYLOR FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:MEYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-996-3737
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:336-996-3737
Practice Address - Fax:336-996-3366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty