Individual
DR. KIMBERLY A SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(770) 405-2976
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 405-2976
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33714
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000446036Q
—
GA
Enumeration date
11/18/2005
Last updated
02/28/2024
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