# RALEIGH NEUROSURGICAL CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295612505
- **Authorized official:** JACOB A RODMAN (CEO)
- **Authorized official phone:** (919) 785-3400

## Contact information

- **Practice address:** 12610 N COMMUNITY HOUSE RD STE 200, CHARLOTTE, NC 28277-4137
- **Practice address phone:** (919) 785-3400
- **Mailing address:** 5241 SIX FORKS RD STE 100, RALEIGH, NC 27609-4431
- **Mailing address phone:** (919) 277-9839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2025
- **Last updated:** 08/19/2025