Basic Information
| Provider Information | |||||||||
| NPI: | 1417347063 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | D. DUNCAN SUMPTER, P.C. | ||||||||
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| OtherOrganizationName: | APPALACHIAN COMMUNITY SERVICES, INC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 444 | ||||||||
| Address2: | |||||||||
| City: | MURPHY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 289060444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8288370071 | ||||||||
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| Practice Location | |||||||||
| Address1: | 48 BRITTAIN TRCE | ||||||||
| Address2: | |||||||||
| City: | ANDREWS | ||||||||
| State: | NC | ||||||||
| PostalCode: | 289019259 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8288370071 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2015 | ||||||||
| LastUpdateDate: | 02/03/2015 | ||||||||
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| AuthorizedOfficialLastName: | LANCE | ||||||||
| AuthorizedOfficialFirstName: | DEB | ||||||||
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| AuthorizedOfficialTitleorPosition: | MEDICAL RECORDS MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8288370071 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 320900000X | N | Residential Treatment Facilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 251S00000X | Y | Agencies | Community/Behavioral Health |
ID Information
| ID | Type | State | Issuer | Description | 3410054 | 05 | NC | MEDICAID |