Marie Anne Sprague


Address: 824 Gum Branch Rd, Suite Q, Jacksonville, NC 28540-6269

Marie Anne Sprague (NPI# 1215902838, PAC ID# 7416088224) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1215902838
PAC ID by PECOS 7416088224
Professional Enrollment ID I20100623000167
Full Name Marie Anne Sprague
Address 824 Gum Branch Rd
Suite Q
Jacksonville
NC 28540-6269
Gender F
Medical School LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2002
Primary Specialty PSYCHIATRY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
824 Gum Branch Rd, Suite Q, Jacksonville, NC 28540-6269

Organization Information

Office Location

Street Address 824 GUM BRANCH RD
SUITE Q
City JACKSONVILLE
State NC
Zip 28540-6269

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Competitor

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City JACKSONVILLE
Zip Code 28540
Specialty PSYCHIATRY
City + Specialty JACKSONVILLE + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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