Provider Demographics
NPI:1669770798
Name:KELLY SIGMON MCLAURIN DC, PA
Entity type:Organization
Organization Name:KELLY SIGMON MCLAURIN DC, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:SIGMON
Authorized Official - Last Name:MCLAURIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-773-4926
Mailing Address - Street 1:725 CRANBERRY ST
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-6701
Mailing Address - Country:US
Mailing Address - Phone:828-733-4848
Mailing Address - Fax:828-733-4844
Practice Address - Street 1:725 CRANBERRY ST
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-6701
Practice Address - Country:US
Practice Address - Phone:828-733-4848
Practice Address - Fax:828-733-4844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty