Healthcare Provider Details

I. General information

NPI: 1801718531
Provider Name (Legal Business Name): ELIZABETH SPITZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 POWERS FERRY RD
SANDY SPRINGS GA
30339-2919
US

IV. Provider business mailing address

4430 WINN ST
ACWORTH GA
30101-5456
US

V. Phone/Fax

Practice location:
  • Phone: 770-612-5140
  • Fax:
Mailing address:
  • Phone: 470-533-8544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH036372
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: