Individual
ROSEMARIE SPILLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1266 HIGHWAY 515 S, JASPER, GA 30143-4872
(706) 692-2441
Mailing address
744 NOAH DR # 113-315, JASPER, GA 30143-8705
(706) 301-1098
(706) 301-9151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
037702
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000577123I
—
GA
05
—
000577123K
—
GA
01
—
364065
BCBS OF GEORGIA
GA
01
—
P99931054
RR MEDICARE PROVIDER NUM
GA
Enumeration date
09/20/2005
Last updated
03/26/2013
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