Stanston D. Spence M.D., P.C.
Specialist in Atlanta, GA. Organization (NPI-2).
NPI number1447553292
StatusActive
Last updated in NPPESDec 17, 2010
Details
- NPI
- 1447553292
- Entity type
- Organization (NPI-2)
- Legal business name
- Stanston D. Spence M.D., P.C.
- Organization subpart
- No
- Enumeration date
- Dec 17, 2010
- Last updated
- Dec 17, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 032474 | GA | Yes |
Practice location
777 Cleveland Ave SwSuite 305
Atlanta, GA 30315-7129
Phone 404-761-7482 · Fax 404-761-8398
Mailing address
777 Cleveland Ave SwSuite 305
Atlanta, GA 30315-7129
Phone 404-761-7482 · Fax 404-761-8398
Authorized official
Stanston D'Andrea Spence
Provider
4047617482
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