Individual provider · Type 1 NPI

Piccina R. Spence, PA-C

Medical Physician Assistant · Fort Stewart, GA

NPI number 1417949082 Active

Practice location

192 Lindquist Rd, Bld 412, Tfcmc
Fort Stewart, GA 31314-5122

Mailing address

1061 Harmon Ave, Suite 1D03, Winn Army Community Hospital
Fort Stewart, GA 31315

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X02958 (GA)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1417949082

Piccina R. Spence, PA-C's National Provider Identifier is 1417949082, issued on Aug 18, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Stewart, GA. The record was last updated on Oct 1, 2010.