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Individual

DR. JORGE A SPINOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1045 SOUTHCREST DR STE 200, STOCKBRIDGE, GA 30281-6113
(678) 289-0549
(678) 289-8756
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(678) 289-0549
(678) 289-8756

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036016
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000509726AH
GA
05
000509726AI
GA
Enumeration date
01/04/2006
Last updated
12/01/2020
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