Organization
SPILKER MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD F. SPILKER M.D. (PRESIDENT)
(770) 590-1440
Entity
Organization
Contact information
Practice address
1690 STONE VILLAGE LANE NW, SUITE 921, KENNESAW, GA 30152-7714
(770) 590-1440
(770) 792-9231
Mailing address
1690 STONE VILLAGE LANE NW, SUITE 921, KENNESAW, GA 30152-7714
(770) 590-1440
(770) 792-9231
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
031133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G701676
MEDICARE PTAN
GA
01
—
C89514
UPIN
—
Enumeration date
08/10/2009
Last updated
04/05/2012
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