Healthcare Provider Details

I. General information

NPI: 1215179023
Provider Name (Legal Business Name): DANIEL SETH SPRAGGINS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2009
Last Update Date: 01/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 FRANKLIN ST SE THE ORTHOPAEDIC CENTER
HUNTSVILLE AL
35801-4306
US

IV. Provider business mailing address

927 FRANKLIN ST SE THE ORTHOPAEDIC CENTER
HUNTSVILLE AL
35801-4306
US

V. Phone/Fax

Practice location:
  • Phone: 256-539-2728
  • Fax: 256-539-2666
Mailing address:
  • Phone: 256-539-2728
  • Fax: 256-539-2666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA-643
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: