Spence, Piccina R

Spence, Piccina R is an individual health care provider with primary practice located at 192 Lindquist Rd Bld 412, Tfcmc, Ft Stewart GA 31314-5122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Spence, Piccina R can be contacted via phone (912) 435-6633.

Contact Information

Primary practice address
192 Lindquist Rd Bld 412, Tfcmc Ft Stewart GA 31314-5122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 02958 Georgia

Profile Details

NPI number 1417949082
LBN Legal business name Spence, Piccina R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Oct 1st, 2010 - about 14 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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