Organization
SPELIOS AND ASSOCIATES- SUMMITT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WALKER DEHAVEN (CHIEF FINANCIAL OFFICER)
(678) 879-1177
Entity
Organization
Contact information
Practice address
3823 ROSWELL RD, SUITE 205, MARIETTA, GA 30062-6278
(770) 973-9275
(770) 973-1915
Mailing address
3823 ROSWELL RD, SUITE 205, MARIETTA, GA 30062-6278
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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