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Individual

DR. THOMAS RALEIGH FORREST JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
102 W 32ND ST, LUMBERTON, NC 28358-2925
(910) 738-7710
(910) 738-7749
Mailing address
102 W 32ND ST, LUMBERTON, NC 28358-2925
(910) 738-7710
(910) 738-7749

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
NC2827
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0843U
BCBS
NC
01
618544
ACN
NC
05
890843U
NC
01
B1429
MEDCOST
NC
Enumeration date
11/08/2006
Last updated
05/04/2022
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