Individual
JAMES E SPODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 HISTORIC HWY 441 N, SUITE D, DEMOREST, GA 30535
(706) 754-2161
(706) 754-3518
Mailing address
PO BOX 657, DEMOREST, GA 30535-0657
(706) 754-2161
(706) 754-3518
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01059912A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200106110
—
IN
Enumeration date
07/04/2006
Last updated
11/24/2010
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