Individual
DEONTRAE SPRUILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 SHANNON ST, ELIZABETH CITY, NC 27909-6063
(816) 489-2299
Mailing address
1033 SHANNON ST, ELIZABETH CITY, NC 27909-6063
(816) 489-2299
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
NC
344600000X
Taxi
—
NC
347C00000X
Private Vehicle
Primary
—
NC
Other
Enumeration date
11/09/2016
Last updated
11/16/2016
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