Organization
RALEIGH NECK & BACK CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN KUCZMARSKI (OWNER)
(919) 676-2225
Entity
Organization
Contact information
Practice address
104 W MILLBROOK RD, RALEIGH, NC 27609-4369
(919) 676-2225
Mailing address
104 W MILLBROOK RD, RALEIGH, NC 27609-4369
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890872C
—
NC
Enumeration date
11/20/2006
Last updated
12/06/2007
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