Individual
RICKY A SPELLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4680 BROWNSBORO RD RM A2, WINSTON SALEM, NC 27106-3428
(814) 218-2598
Mailing address
1712 YARBOROUGH DR, GREENSBORO, NC 27405-2748
(919) 612-3481
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
AL6322
NC
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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