Individual
DR. STANSTON D'ANDREA SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
208600000X
Surgery Physician
032474
GA
2086S0102X
Surgical Critical Care Physician
Primary
032474
GA
2086S0127X
Trauma Surgery Physician
032474
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00415599B
—
GA
Enumeration date
07/03/2006
Last updated
09/11/2025
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