Individual
STEPHANIE SPAULDING PIRKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1575 CHATTANOOGA AVE STE 1, DALTON, GA 30720-2672
(706) 876-2130
Mailing address
1575 CHATTANOOGA AVE STE 1, DALTON, GA 30720-2672
(706) 876-2130
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0000042232
TN
208000000X
Pediatrics Physician
Primary
063431
GA
208000000X
Pediatrics Physician
200600921
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404481
—
NC
05
—
660561309A
—
GA
Enumeration date
02/27/2007
Last updated
09/06/2011
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