Provider Demographics
NPI:1740290493
Name:RABY, MELVIN EUGENE (DC)
Entity type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:EUGENE
Last Name:RABY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 WESTWOOD WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-3459
Mailing Address - Country:US
Mailing Address - Phone:910-276-0303
Mailing Address - Fax:910-276-0388
Practice Address - Street 1:501 WESTWOOD WAY
Practice Address - Street 2:SUITE A
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-3459
Practice Address - Country:US
Practice Address - Phone:910-276-0303
Practice Address - Fax:910-276-0388
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2811111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890844YMedicaid
SCCH2811Medicaid
NC890844YMedicaid
SCCH2811Medicaid