Individual
MS. BETHANY J SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 FINES CREEK DR, STATESVILLE, NC 28625
(704) 880-8665
Mailing address
4622 PALLADIUM PL, CHARLOTTE, NC 28269-8130
(704) 728-9509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004963
NC
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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