Individual
MATTHEW THOMAS SPROUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
811 US 70 HWY W, GARNER, NC 27529-2541
(919) 235-6565
(919) 235-6596
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-9713
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007-00996
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909877
—
NC
Enumeration date
03/02/2007
Last updated
12/29/2022
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