Roy A Spence PAAA

NPI 1679528475 - Anesthesiologist Assistant - 367H00000X

NPI Details
NPI 1679528475
Gender Male
Enumeration Date 05/23/2006
Last Updated 04/10/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2701 N. DECATUR RD
DECATUR GA, 30033-0000, US
Phone (678) 514-1991
Fax (678) 514-1992
Business Location
PO BOX 551420
FORT LAUDERDALE FL, 33355-1420, US
Phone (800) 243-3839
Fax (954) 839-2569
Toxanomy
Taxonomy Code 367H00000X
License State Georgia
License Number 002181
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According to our database, Roy A Spence PAAA NPI is 1679528475, taxonomy code is 367H00000X and license number is 002181, license state is located at Georgia. Roy A Spence PAAA physically located at 2701 N. Decatur Rd, Decatur GA, 30033-0000. NPI Number Roy A Spence PAAA has the Individual type.

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1679528475 NPI number is provided on an as is basis without warranty of any kind. 1679528475 is maintained by the National Plan & Provider Enumeration System. The contents of Roy A Spence PAAA are for informational purposes only.