Individual
SPENCER M WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4425 PAULSEN ST, SAVANNAH, GA 31405-3637
(912) 355-6615
(912) 351-0645
Mailing address
4425 PAULSEN ST, SAVANNAH, GA 31405-3637
(912) 355-6615
(912) 351-0645
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
33752
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
33752
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000506382A
—
GA
01
—
200024805
RAILROAD MEDICARE
GA
Enumeration date
05/15/2006
Last updated
05/31/2019
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