Individual
DONICA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 E WASHINGTON AVE, ASHBURN, GA 31714-5248
(229) 567-4414
(229) 567-4419
Mailing address
317 EAST WASHINTON AVE, ASHBURN, GA 31714-4322
(229) 869-4155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
159916
GA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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