Organization
RALEIGH SPINE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W LEGROW D.C. (OWNER)
(919) 620-7900
Entity
Organization
Contact information
Practice address
1425 ROCK QUARRY RD, SUITE 104, RALEIGH, NC 27610-4100
(919) 620-7900
(919) 479-5061
Mailing address
400 CRUTCHFIELD ST, SUITE D, DURHAM, NC 27704-2771
(919) 620-7900
(919) 479-5061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1958
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08513
BCBS PROVIDER ID
NC
Enumeration date
03/27/2008
Last updated
03/27/2008
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