Organization
PEDIATRIC ENDOCRINE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A. SPANGLER (PRACTICE ADMINISTRATOR)
(404) 255-1267
Entity
Organization
Contact information
Practice address
1100 LAKE HEARN DR NE, SUITE 350, ATLANTA, GA 30342-1523
(404) 255-0015
(404) 845-3080
Mailing address
1100 LAKE HEARN DR NE, SUITE 350, ATLANTA, GA 30342-1523
(404) 255-0015
(404) 845-3080
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
25935
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00313365A
—
GA
05
—
00709541A
—
GA
05
—
18949
—
GA
Enumeration date
11/09/2007
Last updated
11/16/2007
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