Spence, John V

Spence, John V is an sole proprietor health care provider with primary practice located at 101 Harris Industrial Blvd Suite E, Vidalia GA 30474-8852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Spence, John V can be contacted via phone (770) 309-6636.

Contact Information

Primary practice address
101 Harris Industrial Blvd Suite E Vidalia GA 30474-8852
Phone: (770) 309-6636
Fax: (912) 277-2080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 55572 Georgia

Profile Details

NPI number 1124034996
LBN Legal business name Spence, John V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Aug 17th, 2011 - about 13 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 1124034996 NPPES
Georgia MEDICAID 880364664A

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