Organization
CAROLINA NEUROSCIENCE INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI RADCLIFFE (BUSINESS MANAGER)
(919) 239-0264
Entity
Organization
Contact information
Practice address
4030 WAKE FOREST RD, STE 115, RALEIGH, NC 27609-6800
(919) 239-0264
(919) 239-0266
Mailing address
4030 WAKE FOREST RD, STE 115, RALEIGH, NC 27609-6800
(919) 239-0264
(919) 239-0266
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
98-01269
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1163H
BCBS
NC
05
—
891163H
—
NC
Enumeration date
08/10/2007
Last updated
07/21/2008
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