Provider Demographics
NPI:1740433382
Name:NORTH RALEIGH ACCIDENT & INJURY CENTER INC.
Entity Type:Organization
Organization Name:NORTH RALEIGH ACCIDENT & INJURY CENTER INC.
Other - Org Name:PREMIER CHIROPRCATIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BODIE
Authorized Official - Middle Name:ROYAL
Authorized Official - Last Name:DORRANCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:252-431-1700
Mailing Address - Street 1:1600 RONALD DR
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6158
Mailing Address - Country:US
Mailing Address - Phone:919-850-1550
Mailing Address - Fax:919-850-1320
Practice Address - Street 1:1600 RONALD DR
Practice Address - Street 2:SUITE # 103
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6158
Practice Address - Country:US
Practice Address - Phone:919-850-1550
Practice Address - Fax:919-850-1320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty