Spence, Dinah Lynn

Spence, Dinah Lynn is an sole proprietor health care provider with primary practice located at 318 W Pike St Suite 104, Lawrenceville GA 30045-3234. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Spence, Dinah Lynn can be contacted via phone (678) 377-2833.

Contact Information

Primary practice address
318 W Pike St Suite 104 Lawrenceville GA 30045-3234
Phone: (678) 377-2833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT002640 Georgia

Profile Details

NPI number 1134287907
LBN Legal business name Spence, Dinah Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Jul 9th, 2007 - about 18 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 1134287907 NPPES
Georgia Other 10037598 AMERIGROUP-AAKTS
Georgia MEDICAID 00819277B AMERIGROUP-AAKTS
Georgia Other 307935 AMERIGROUP-AAKTS

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