Individual
DR. JOSEPH DAVID SPATARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6101 IDLEWILD RD, SUITE 300, CHARLOTTE, NC 28212-0517
(704) 531-0990
(704) 531-0464
Mailing address
6101 IDLEWILD RD, SUITE 300, CHARLOTTE, NC 28212-0517
(704) 531-0990
(704) 531-0464
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15313
SC
208D00000X
General Practice Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913379
—
NC
Enumeration date
01/30/2006
Last updated
10/23/2007
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