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Contact Information

JOHN V SPENCE, MD
101 HARRIS INDUSTRIAL BLVD
SUITE E
VIDALIA, GA30474-8852
 Phone: 770-309-6636
 Fax: 912-277-2080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JOHN V SPENCE · (Male)

NPI # 1124034996
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2006
Last updated 08/17/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 55572
  • GA Medicaid 880364664A
Hospital affiliation(s)
  • MEADOWS REGIONAL MEDICAL CENTER - (Acute Care)
    ONE MEADOWS PARKWAY
    VIDALIA, GA 30474
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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