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NPI Code Detail

MEDICARE: DR. ERIN VANESSA SPEARMAN M.D.

MEDICARE: DR. ERIN VANESSA SPEARMAN M.D.
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
12084P0800XPsychiatry Physician64755GA
2207R00000XInternal Medicine Physician64755GA

General Provider Information

NPI Number : 1053498212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN VANESSA SPEARMAN M.D.
Provider Business Mailing Address
First Line : 1499 WALTON WAY
Second Line : STE 1400
City : AUGUSTA
State : GA
Zip : 30901-2602
Country : US
Telephone Number : 706-828-8401
Fax Number :
Provider Business Practice Location Address
First Line : 997 SAINT SEBASTIAN WAY
Second Line : EG-3027
City : AUGUSTA
State : GA
Zip : 30912-2613
Country : US
Telephone Number : 706-721-6597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 10/25/2012

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