Craig, Spencer Lucile

Craig, Spencer Lucile is an individual health care provider with primary practice located at 1265 Upper Hembree Rd Ste 100 , Roswell GA 30076-1258. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Craig, Spencer Lucile can be contacted via phone (770) 751-1133.

Contact Information

Primary practice address
1265 Upper Hembree Rd Ste 100 Roswell GA 30076-1258
Phone: (770) 751-1133
Fax: (770) 751-7410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9164 Georgia

Profile Details

NPI number 1376001362
LBN Legal business name Craig, Spencer Lucile
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2019
Last updated Mar 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376001362 NPPES
Georgia Other 9164 PHYSICIAN ASSISTANT LICENSE

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