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General NPI Number Information
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NPI Number | 1821046764
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Entity Type | Organization
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Legal Business Name | SPALDING ANESTHESIA ASSOCIATES PC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 610 S 8TH ST SUITE F
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City | GRIFFIN
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State | GA
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Zip | 30224-4201
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Country | US
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Telephone | 770-228-8550
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Fax | 770-228-1478
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Provider Business Mailing Address
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Address Line | 610 S 8TH ST SUITE F
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City | GRIFFIN
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State | GA
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Zip | 30224-4201
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Country | US
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Telephone | 770-228-8550
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Fax | 770-228-1478
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IAN MARKS
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Credential | M.D.
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Telephone | 770-228-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | GA
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