Provider Demographics
NPI:1457398174
Name:DRURY, RAY TODD (DC)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:TODD
Last Name:DRURY
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 1:2550 W ARROWOOD RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-6651
Mailing Address - Country:US
Mailing Address - Phone:704-588-5560
Mailing Address - Fax:704-588-4919
Practice Address - Street 1:2550 W ARROWOOD RD
Practice Address - Street 2:SUITE 104
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-6651
Practice Address - Country:US
Practice Address - Phone:704-588-5560
Practice Address - Fax:704-588-4919
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2039111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890825PMedicaid
NCP00081746OtherRAILROAD MEDICARE NC
NC0825POtherBLUE CROSS BLUE SHIELD OF
NC0825POtherBLUE CROSS BLUE SHIELD OF