Organization
KMEG RESOURCE CORP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L ADIX DO (CEO PRESIDENT)
(704) 739-5610
Entity
Organization
Contact information
Practice address
827 EAST KING STREET, KINGS MTN, NC 28086
(704) 739-5610
(704) 739-4556
Mailing address
PO BOX 427, KINGS MOUNTAIN, NC 28086
(704) 739-5610
(704) 739-4556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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