Provider Demographics
NPI:1003119629
Name:FRANCESCA D SPENCER MD ESTATE
Entity Type:Organization
Organization Name:FRANCESCA D SPENCER MD ESTATE
Other - Org Name:APPALACHIAN CARDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:WELBORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-838-8406
Mailing Address - Street 1:240 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-3537
Mailing Address - Country:US
Mailing Address - Phone:336-838-8406
Mailing Address - Fax:336-838-8081
Practice Address - Street 1:240 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3537
Practice Address - Country:US
Practice Address - Phone:336-838-8406
Practice Address - Fax:336-838-8081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty