Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 26391 | GA |
NPI | 1043250947 |
---|---|
Provider Name | Dr. John Spiegel |
First Address | Macon, GA 31201-7914 |
Second Address | Macon, GA 31201-7914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 04/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00309075A | (05) | GA |
D42006 | (02) | GA |