Organization
TEAM CHIROPRACTIC & SPORTS MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE D DODD D.C. (CHIROPRACTOR)
(919) 788-8881
Entity
Organization
Contact information
Practice address
309-199 W MILLBROOK RD, RALEIGH, NC 27609-4385
(919) 788-8881
(919) 788-8818
Mailing address
309-199 W MILLBROOK RD, RALEIGH, NC 27609-4385
(919) 788-8881
(919) 788-8818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2172
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201U
BCBS GROUP NUMBER
NC
01
—
08316
BCBS INDIVIDUAL DODD
NC
01
—
2346483
MEDICARE GROUP NUMBER
NC
01
—
790201U
MEDICAID GROUP NUMBER
NC
05
—
7908316
—
NC
Enumeration date
02/06/2007
Last updated
08/22/2007
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