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General NPI Number Information
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NPI Number | 1013381391
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Entity Type | Individual
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Provider Name | DONALD CRAIG SPOON NP-C
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Gender | Male
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 2151 W SPRING ST
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City | MONROE
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State | GA
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Zip | 30655-3115
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Country | US
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Telephone | 770-267-1789
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Fax |
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Provider Business Mailing Address
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Address Line | 1621 HIGHLAND CREEK DR
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City | MONROE
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State | GA
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Zip | 30656-2508
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Country | US
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Telephone | 470-564-8477
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN213238
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN213238
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024192765
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License Number State | VA
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