Organization
STANSTON D. SPENCE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANSTON D SPENCE M.D. (OWNER/DR.)
(678) 586-3055
Entity
Organization
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(678) 586-3055
(678) 586-3674
Mailing address
PO BOX 162728, ATLANTA, GA 30321-2728
(678) 586-3055
(678) 586-3674
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
32474
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000415599B
—
GA
Enumeration date
10/09/2014
Last updated
10/09/2014
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