Provider Demographics
NPI:1467489971
Name:SPRAGINS, JOEL FRED (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:FRED
Last Name:SPRAGINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2455
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28151
Mailing Address - Country:US
Mailing Address - Phone:704-482-0468
Mailing Address - Fax:
Practice Address - Street 1:208 VAUXHALL DR
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-4239
Practice Address - Country:US
Practice Address - Phone:704-482-0468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17665207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C87682Medicare UPIN