Individual
DR. SPENCER M. PATERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
195 E TOLLISON ST, BAXLEY, GA 31513
(912) 366-6088
(912) 705-4195
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
033669
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000540262F
—
GA
01
—
033669
STATE LICENSE
GA
Enumeration date
10/29/2007
Last updated
03/07/2023
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