Organization
SPENCER FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS ANDRE SPENCER M.D. (MEDICAL DOCTOR)
(770) 607-9032
Entity
Organization
Contact information
Practice address
650 HENDERSON DR STE 504, CARTERSVILLE, GA 30120-3760
(770) 607-9032
(770) 607-9035
Mailing address
650 HENDERSON DRIVE, SUITE 504, CARTERSVILLE, GA 30120-3744
(770) 607-9032
(770) 607-9035
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558748244
EIN
GA
Enumeration date
05/01/2015
Last updated
07/21/2022
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