Individual
MICHAEL FRANCIS GRAYBAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
116 N NORWOOD ST, WALLACE, NC 28466
(910) 285-7222
(910) 285-7229
Mailing address
PO BOX 15033, WILMINGTON, NC 28401
(910) 285-7222
(910) 285-7229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2141
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0832Q
BCBSNC
NC
01
—
2141
STATE LICENSE
NC
05
—
890832Q
—
NC
Enumeration date
04/01/2006
Last updated
07/08/2007
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