Organization
RALEIGH NEUROSURGICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB A RODMAN (EXECUTIVE DIRECTOR)
(919) 785-3400
Entity
Organization
Contact information
Practice address
5241 SIX FORKS ROAD, SUITE 100, RALEIGH, NC 27609-2760
(919) 785-3400
Mailing address
PO BOX 63082, CHARLOTTE, NC 28263-3082
(919) 785-3400
(919) 783-7778
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
NC
207T00000X
Neurological Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902497
—
NC
Enumeration date
05/31/2006
Last updated
01/29/2025
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