Individual
DR. JOHN V SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HARRIS INDUSTRIAL BLVD, SUITE E, VIDALIA, GA 30474-8852
(770) 309-6636
(912) 277-2080
Mailing address
101 HARRIS INDUSTRIAL BLVD, SUITE E, VIDALIA, GA 30474-8852
(912) 277-2077
(912) 277-2080
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
55572
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880364664A
—
GA
Enumeration date
07/31/2006
Last updated
08/17/2011
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