Healthcare Provider Details

I. General information

NPI: 1902591233
Provider Name (Legal Business Name): ERIC SPIRES BELCHER MD, AAHIVS,MLS,SM,MB
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 TEBEAU ST
WAYCROSS GA
31501-6357
US

IV. Provider business mailing address

1900 TEBEAU ST
WAYCROSS GA
31501-6357
US

V. Phone/Fax

Practice location:
  • Phone: 912-283-3030
  • Fax:
Mailing address:
  • Phone: 912-283-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME177016
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number109357
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code246QM0900X
TaxonomyMicrobiology Specialist/Technologist
License Number5655
License Number State
# 4
Primary TaxonomyN
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number261842
License Number State
# 5
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number7413
License Number State
# 6
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateGA
# 7
Primary TaxonomyN
Taxonomy Code246Q00000X
TaxonomyPathology Specialist/Technologist
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code246QL0901X
TaxonomyDiplomate Laboratory Management Specialist/Technologist
License Number1188
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: