Individual
DR. ALEXIS DANIELLE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
596 BOBBY JONES EXPY, AUGUSTA, GA 30907-5300
(703) 342-8889
Mailing address
2622 SERENITY LN, AUGUSTA, GA 30909-0646
(703) 342-8889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001742
VA
152W00000X
Optometrist
Primary
OPT002562
GA
Other
Enumeration date
10/28/2008
Last updated
03/09/2011
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