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NPI Code Detail

MEDICARE: ROSE MARY SPEARMAN

MEDICARE: ROSE MARY SPEARMAN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1164111696
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE MARY SPEARMAN
Provider Business Mailing Address
First Line : 613 33RD ST UNIT C
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-7638
Country : US
Telephone Number : 706-329-1059
Fax Number :
Provider Business Practice Location Address
First Line : 2100 COMER AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8725
Country : US
Telephone Number : 706-596-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2023
Last Update Date : 05/02/2023

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Directions to “ ROSE MARY SPEARMAN ” Practice Location

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