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NPI Code Detail

MEDICARE: STEPHANIE SPAULDING PIRKLE M.D.

MEDICARE: STEPHANIE SPAULDING PIRKLE 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
1208000000XPediatrics Physician200600921NC
2208000000XPediatrics Physician0000042232TN
3208000000XPediatrics Physician063431GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326175738
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE SPAULDING PIRKLE M.D.
Provider Business Mailing Address
First Line : 1575 CHATTANOOGA AVE STE 1
Second Line :
City : DALTON
State : GA
Zip : 30720-2672
Country : US
Telephone Number : 706-876-2130
Fax Number :
Provider Business Practice Location Address
First Line : 1575 CHATTANOOGA AVE STE 1
Second Line :
City : DALTON
State : GA
Zip : 30720-2672
Country : US
Telephone Number : 706-876-2130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 09/06/2011

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