Individual
JOHN H SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1041 NOELL LN, SUITE 105, ROCKY MOUNT, NC 27804-2058
(252) 451-2700
(252) 451-2702
Mailing address
PO BOX 7867, ROCKY MOUNT, NC 27804-0867
(252) 451-2700
(252) 451-2702
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102279
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197929
MEDCOST
NC
01
—
7297655
AETNA ID
NC
Enumeration date
08/11/2005
Last updated
04/25/2014
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