MEDICARE: SPELIOS AND ASSOCIATES PA II

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305S00000X	Point of Service

General Provider Information

NPI Number	:	1134270747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPELIOS AND ASSOCIATES PA II

Provider Business Mailing Address
First Line	:	3721 LYNN RD
Second Line	:	SUITE 120
City	:	RALEIGH
State	:	NC
Zip	:	27613-3854
Country	:	US
Telephone Number	:	919-788-0401
Fax Number	:

Provider Business Practice Location Address
First Line	:	3721 LYNN RD
Second Line	:	SUITE 120
City	:	RALEIGH
State	:	NC
Zip	:	27613-3854
Country	:	US
Telephone Number	:	919-788-0401
Fax Number	:	919-788-0427

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	WILLIAM ANDREW LITTON
Credential	:
Telephone Number	:	678-879-1177

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	08/22/2020

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