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NPI Code Detail

MEDICARE: MRS. DARA LEIGH SPECTOR FNP-C

MEDICARE:  MRS. DARA LEIGH SPECTOR  FNP-C
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
1363LF0000XFamily Nurse PractitionerRN149635GA

General Provider Information

NPI Number : 1871742155
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DARA LEIGH SPECTOR FNP-C
Provider Business Mailing Address
First Line : 974 CRANE RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30324-2507
Country : US
Telephone Number : 678-642-8819
Fax Number :
Provider Business Practice Location Address
First Line : 974 CRANE RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30324-2507
Country : US
Telephone Number : 678-642-8819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2008
Last Update Date : 11/05/2025

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