Individual
MR. ELMER J. SPEELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
435 W RUSSELL ST, FAYETTEVILLE, NC 28301-5576
(910) 286-6306
(910) 483-9622
Mailing address
435 W RUSSELL ST, FAYETTEVILLE, NC 28301-5576
(910) 286-6306
(910) 483-9622
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
7795083
NC
224P00000X
Prosthetist
Primary
7795083
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000024
—
GA
05
—
7795083
—
NC
Enumeration date
02/01/2007
Last updated
09/11/2025
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