Spence, Stanston D'Andrea
Spence, Stanston D'Andrea is an individual health care provider with primary practice located at 777 Cleveland Ave Sw Suite 305, Atlanta GA 30315-7129. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Spence, Stanston D'Andrea can be contacted via phone (404) 761-7482.Contact Information
Primary practice address
777 Cleveland Ave Sw Suite 305
Atlanta GA 30315-7129
Phone: (404) 761-7482
Fax: (404) 761-8398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 032474 | Georgia |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 032474 | Georgia |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 032474 | Georgia |
Profile Details
| NPI number | 1821027442 |
|---|---|
| LBN Legal business name | Spence, Stanston D'Andrea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821027442 | NPPES |
| Georgia | MEDICAID | 00415599B |
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