Individual
MR. MICHAEL ALLEN SPANDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
707 OLD DALTON ELLIJAY RD, CHATSWORTH, GA 30705-2029
(706) 695-4564
Mailing address
100 EDGEWATER DR, RINGGOLD, GA 30736-6916
(404) 862-7391
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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