institution
Stanston D. Spence M.d., P.c.
Specialist in Atlanta, Georgia
NPI 1447553292

Stanston D. Spence M.d., P.c. is a Specialist based in Atlanta, GA. Stanston D. Spence M.d., P.c. practices in Atlanta, GA. The NPI Number for Stanston D. Spence M.d., P.c. is 1447553292 and holds a License No. 032474 (Georgia).

The current practice location address for Stanston D. Spence M.d., P.c. is 777 Cleveland Ave Sw, Atlanta, GA and can be reached out via phone at 404-761-7482 and via fax at 404-761-8398.

Location: 777 Cleveland Ave Sw, Atlanta, GA, 30315-7129
institution
Provider Profile Details
NPI Number
1447553292
Provider Name
Stanston D. Spence M.d., P.c.
Credential
Provider Entity Type
Organization
Address
777 Cleveland Ave Sw, Atlanta, GA, 30315-7129
Phone Number
404-761-7482
Fax Number
404-761-8398
Provider Enumeration Date
12/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000415599B 05 GA
institution
Provider Business Practice Location Address Details
Address
777 Cleveland Ave Sw
City
State
Zip
30315-7129
Phone Number
404-761-7482
Fax Number
404-761-8398
person
Provider Business Mailing Address Details
Address
777 Cleveland Ave Sw
City
State
Zip
30315-7129
Phone Number
404-761-7482
Fax Number
404-761-8398
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
032474 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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