Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 20948 | NC |
NPI | 1013974229 |
---|---|
Provider Name | John A Spiggle |
First Address | Morganton, NC 28655-5119 |
Second Address | Morganton, NC 28655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 14/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
340020041 | RAILROAD MEDICARE (01) | |
78919 | BCBS (01) | NC |
8978919 | (05) | NC |
C80850 | (02) |