Provider Demographics
NPI:1033484555
Name:SPAULDING, JEAN GAILLARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:GAILLARD
Last Name:SPAULDING
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Gender:F
Credentials:MD
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Mailing Address - Street 1:301 RUSSO VALLEY DR
Mailing Address - Street 2:CAMERON POND
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8111
Mailing Address - Country:US
Mailing Address - Phone:919-668-3326
Mailing Address - Fax:919-668-3323
Practice Address - Street 1:2400 PRATT ST STE 1500
Practice Address - Street 2:BOX 3644 FIRST FLOOR
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3976
Practice Address - Country:US
Practice Address - Phone:919-668-3326
Practice Address - Fax:909-668-3323
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
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Provider Licenses
StateLicense IDTaxonomies
NC183822084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry