Provider Demographics
NPI:1235173824
Name:AYRES, THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:AYRES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6837 FALLS OF NEUSE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5308
Mailing Address - Country:US
Mailing Address - Phone:919-846-0100
Mailing Address - Fax:919-846-3695
Practice Address - Street 1:6837 FALLS OF NEUSE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-5308
Practice Address - Country:US
Practice Address - Phone:919-846-0100
Practice Address - Fax:919-846-3695
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1566111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC244511Medicare PIN