MEDICARE: PHILIP HUNTER SPOTTS M.D.

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	207Q00000X	Family Medicine Physician	D0053806	MD

General Provider Information

NPI Number	:	1619932795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP HUNTER SPOTTS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 759047
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21275-9047
Country	:	US
Telephone Number	:	804-822-4355
Fax Number	:

Provider Business Practice Location Address
First Line	:	8830 BELAIR RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21236-2401
Country	:	US
Telephone Number	:	410-529-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	02/27/2014

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