| Carolina Upper Cervical Clinic, Inc. | |
|
2550 W Arrowood Rd, Ste. 104, Charlotte, NC 28273-6651 | |
| (704) 588-5560 | |
| (704) 588-4919 |
| Full Name | Carolina Upper Cervical Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2550 W Arrowood Rd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497796890 | NPI | - | NPPES |
| DA9966 | Other | NC | RAILROAD CORPORATION ID # |
| 015AX | Other | NC | BCBSNC CORPORATION ID # |
| 89015AX | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2039 (North Carolina) | Primary |
| Provider Name | Ray Drury |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457398174 PECOS PAC ID: 8729992482 Enrollment ID: I20050328000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Upper Cervical Clinic, Inc. 2550 W Arrowood Rd, Ste. 104, Charlotte, NC 28273-6651 Ph: (704) 588-5560 | Carolina Upper Cervical Clinic, Inc. 2550 W Arrowood Rd, Ste. 104, Charlotte, NC 28273-6651 Ph: (704) 588-5560 |
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