SPA1 Clinic
SPA1 Clinic provides Contractor services in Stone Mountain, Georgia. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
901 Martin RdStone Mountain, GA 30088-2110 Not confirmed with CMS for 17 years — call before visiting
Phone: (678) 368-2398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1285870485 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sara Badie — Ceo · (678) 368-2398 |
| Other names | Buckeye Medical |
| NPI enumerated | December 18, 2008 |
| Last updated in NPPES | December 18, 2008 |
| Mailing address | 901 Martin Rd, Stone Mountain, GA 30088-2110 |
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