Organization
CAROLINA UPPER CERVICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY TODD DRURY DC (PRESIDENT)
(704) 588-5560
Entity
Organization
Contact information
Practice address
2550 W ARROWOOD RD, STE. 104, CHARLOTTE, NC 28273-6651
(704) 588-5560
(704) 588-4919
Mailing address
2550 W ARROWOOD RD, STE. 104, CHARLOTTE, NC 28273-6651
(704) 588-5560
(704) 588-4919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015AX
BCBSNC CORPORATION ID #
NC
05
—
89015AX
—
NC
01
—
DA9966
RAILROAD CORPORATION ID #
NC
Enumeration date
06/09/2006
Last updated
03/05/2008
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