Mark Spencer, MD
Internal Medicine in Atlanta, GA. Individual provider (NPI-1).
NPI number1164059960
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1164059960
- Entity type
- Individual (NPI-1)
- Name
- Mark Spencer
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2020
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 96556 | GA | Yes |
Practice location
49 Jesse Hill Jr Dr SeAtlanta, GA 30303-3049
Phone 404-778-7777
Mailing address
49 Jesse Hill Jr Dr SeAtlanta, GA 30303-3049
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