Individual
DR. JOSEPH MILTON SPRUILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 335-0503
(252) 335-4015
Mailing address
107 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 335-0503
(252) 335-4015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19404
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34DO242422
CLA
NC
05
—
897905O
—
NC
01
—
D33019
UPIN
NC
Enumeration date
02/05/2007
Last updated
12/05/2007
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