MEDICARE: DR. RAY TODD DRURY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2039	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00081746	OTHER	NC	RAILROAD MEDICARE NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0825P	OTHER	NC	BLUE CROSS BLUE SHIELD OF

General Provider Information

NPI Number	:	1457398174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAY TODD DRURY D.C.

Provider Business Mailing Address
First Line	:	2550 W ARROWOOD RD
Second Line	:	SUITE 104
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-6651
Country	:	US
Telephone Number	:	704-588-5560
Fax Number	:	704-588-4919

Provider Business Practice Location Address
First Line	:	2550 W ARROWOOD RD
Second Line	:	SUITE 104
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-6651
Country	:	US
Telephone Number	:	704-588-5560
Fax Number	:	704-588-4919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	03/05/2008

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