Individual
DR. JACK GORLESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
301 S WHITE ST, WAKE FOREST, NC 27587-2916
(919) 556-1033
(919) 556-1034
Mailing address
301 S WHITE ST, WAKE FOREST, NC 27587-2916
(919) 556-1033
(919) 556-1034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08452
BC/BS
NC
Enumeration date
03/20/2006
Last updated
07/08/2007
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