Individual
ELEANOR ANNE SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 NORTHLINE AVE STE 200, GREENSBORO, NC 27408-7602
(336) 545-5006
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14900
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-14900
MEDICAL LICENSE
NC
Enumeration date
10/10/2024
Last updated
12/03/2024
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