Provider Demographics
NPI:1528012663
Name:READ, ELIZABETH GOURLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:GOURLEY
Last Name:READ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6311
Mailing Address - Country:US
Mailing Address - Phone:919-414-9040
Mailing Address - Fax:919-876-4724
Practice Address - Street 1:3412 HILLSBOROUGH ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-5407
Practice Address - Country:US
Practice Address - Phone:919-414-9040
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2290111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0840ROtherBCBS