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DR SPEARMAN M.D. P.C. NPI 1669637401


NPI Information

NPI: 1669637401
Provider Name: DR SPEARMAN, M.D., P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
820 SAINT SEBASTIAN WAY
SUITE 6 D
AUGUSTA, GA
ZIP 30901
Phone: (706) 038-8611
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DR SPEARMAN, M.D., P.C. is a primary care clinic center in Augusta, GA. DR SPEARMAN, M.D., P.C. NPI is 1669637401. The provider is registered as an organization entity type.

The provider's business location address is:

820 SAINT SEBASTIAN WAY
SUITE 6 D
AUGUSTA, GA
ZIP 30901-643
Phone: (706) 038-8611
Fax: (706) 739-0051

The provider's authorized official is David R. Spearman .
The authorized official title is Physician and has the following contact phone number (706) 738-8611.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 7/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care17310GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000119039BMEDICAIDGEORGIA
2D30880MEDICARE UPIN
3257886086BMEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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