Individual
TINA EUN SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6536
(919) 787-7411
(919) 789-4461
Mailing address
3949 BROWNING PL, RALEIGH, NC 27609-6536
(919) 787-7411
(919) 789-4461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2018-00902
NC
2085R0202X
Diagnostic Radiology Physician
MD042344
DC
Other
Enumeration date
06/09/2009
Last updated
04/27/2018
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