Individual
BENJAMIN SCOTT MAXWELL GLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8816 SIX FORKS RD STE 107, RALEIGH, NC 27615-2983
(919) 725-2202
Mailing address
2320 GRANT AVE APT 214, RALEIGH, NC 27608-2073
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5902
NC
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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