Provider Demographics
NPI:1740278100
Name:SPIRO, PHILIP MARGET (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:MARGET
Last Name:SPIRO
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 1:207 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2231
Mailing Address - Country:US
Mailing Address - Phone:919-490-4434
Mailing Address - Fax:919-490-9733
Practice Address - Street 1:207 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2231
Practice Address - Country:US
Practice Address - Phone:919-490-4434
Practice Address - Fax:919-490-9733
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC283522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC78944OtherBCBSNC PROVIDER NUMBER
NC2147778Medicare ID - Type Unspecified
NC78944OtherBCBSNC PROVIDER NUMBER