Individual
MR. ROGER L. SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
3956 KINGS CROSSROADS RD, GREENVILLE, NC 27834-7323
(501) 580-4548
Mailing address
3956 KINGS CROSSROADS RD, GREENVILLE, NC 27834-7323
(501) 580-4548
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
291022
NC
Other
Enumeration date
10/27/2006
Last updated
09/05/2023
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