Provider Demographics
NPI:1841311552
Name:SPELLS, ROSALIND ANN (MD)
Entity type:Individual
Prefix:MS
First Name:ROSALIND
Middle Name:ANN
Last Name:SPELLS
Suffix:
Gender:F
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 1
Mailing Address - Street 2:BARIUM SPRINGS HOME FOR CHILDREN
Mailing Address - City:BARIUM SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28010-0001
Mailing Address - Country:US
Mailing Address - Phone:704-873-1011
Mailing Address - Fax:704-832-2253
Practice Address - Street 1:209 BARIUM SPRINGS DR
Practice Address - Street 2:BARIUM SPRINGS HOME FOR CHILDREN
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-6238
Practice Address - Country:US
Practice Address - Phone:704-873-1011
Practice Address - Fax:704-832-2253
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007000462084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC200325OtherMEDCOST
NC5907344Medicaid
NC147VNOtherBCBS NC