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1790218097

NPI Code Detail

MEDICARE: DANIEL B SPIELMAN MD

MEDICARE: DANIEL B SPIELMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	91166	GA
2	207Y00000X	Otolaryngology Physician	MD210001410	DC
3	207Y00000X	Otolaryngology Physician	D96684	MD
4	207Y00000X	Otolaryngology Physician	0101277568	VA
5	390200000X	Student in an Organized Health Care Education/Training Program
6	207YX0602X	Otolaryngic Allergy Physician	91166	GA

General Provider Information

NPI Number	:	1790218097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL B SPIELMAN MD

Provider Business Mailing Address
First Line	:	550 PEACHTREE ST NE STE 1135
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2234
Country	:	US
Telephone Number	:	404-778-3381
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE STE 1135
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2234
Country	:	US
Telephone Number	:	404-778-3381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2017
Last Update Date	:	05/11/2023

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Directions to “ DANIEL B SPIELMAN MD” Practice Location

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