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NPI Code Detail

MEDICARE: DR. STEVEN ALTON SPILLERS PHARMD

MEDICARE: DR. STEVEN ALTON SPILLERS PHARMD
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
1183500000XPharmacistRPH012316GA

General Provider Information

NPI Number : 1740274349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN ALTON SPILLERS PHARMD
Provider Business Mailing Address
First Line : 1921 MARIE HILL DR SW
Second Line :
City : CONYERS
State : GA
Zip : 30094-5073
Country : US
Telephone Number : 770-483-6497
Fax Number :
Provider Business Practice Location Address
First Line : 5126 HOSPITAL DR NE
Second Line :
City : COVINGTON
State : GA
Zip : 30014-2566
Country : US
Telephone Number : 770-385-4359
Fax Number : 770-385-4460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 07/08/2007

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