Individual
MS. PICCINA R SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
192 LINDQUIST RD, BLD 412, TFCMC, FT STEWART, GA 31314-5122
(912) 435-6633
Mailing address
1061 HARMON AVE, SUITE 1D03, WINN ARMY COMMUNITY HOSPITAL, FT. STEWART, GA 31315
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
02958
GA
Other
Enumeration date
08/18/2005
Last updated
10/01/2010
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