Organization
STANSTON D. SPENCE M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANSTON D'ANDREA SPENCE M.D. (PROVIDER)
(404) 761-7482
Entity
Organization
Contact information
Practice address
777 CLEVELAND AVE SW, SUITE 305, ATLANTA, GA 30315-7129
(404) 761-7482
(404) 761-8398
Mailing address
777 CLEVELAND AVE SW, SUITE 305, ATLANTA, GA 30315-7129
(404) 761-7482
(404) 761-8398
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
032474
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000415599B
—
GA
Enumeration date
12/17/2010
Last updated
12/17/2010
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