Organization
JEROME O SPRUILL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME O SPRUILL MD (PRESIDENT)
(336) 273-6911
Entity
Organization
Contact information
Practice address
1307 N ELM ST, GREENSBORO, NC 27401-6307
(336) 273-6911
(336) 273-9999
Mailing address
1307 N ELM ST, GREENSBORO, NC 27401-6307
(336) 273-6911
(336) 273-9999
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
28092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8979040
—
NC
Enumeration date
01/06/2012
Last updated
01/06/2012
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