Organization
IPS OF ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER SPENCER MD (PRESIDENT)
(941) 360-1566
Entity
Organization
Contact information
Practice address
11940 ALPHARETTA HWY, SUITE 110, ALPHARETTA, GA 30009-2003
(770) 475-8221
Mailing address
PO BOX 864483, ORLANDO, FL 32886-4483
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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