# JEAN G SPAULDING MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134225410
- **Authorized official:** JEAN GAILLARD SPAULDING MD (PRESIDENT OWNER PSYCHIATRIST)
- **Authorized official phone:** (919) 668-3326

## Contact information

- **Practice address:** 2400 PRATT STREET, SUITE 1500 FIRST FLOOR, DURHAM, NC 27710
- **Practice address phone:** (919) 668-3326
- **Practice address fax:** (919) 668-3323
- **Mailing address:** 301 RUSSO VALLEY DRIVE, CARY, NC 27519
- **Mailing address phone:** (919) 650-1198
- **Mailing address fax:** (919) 668-3323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 01/03/2012