Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 39888 | NC |
NPI | 1578616470 |
---|---|
Provider Name | Dr. Celia Lauren Spillmann |
First Address | Yanceyville, NC 27379-8923 |
Second Address | Salisbury, NC 28144-4358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 12/06/2017 |