Spilker, Edward Fraser

Spilker, Edward Fraser is an individual health care provider with primary practice located at 1690 Stone Village Lane Nw Suite 921, Kennesaw GA 30152-7714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spilker, Edward Fraser can be contacted via phone (770) 590-1440.

Contact Information

Primary practice address
1690 Stone Village Lane Nw Suite 921 Kennesaw GA 30152-7714
Phone: (770) 590-1440
Fax: (770) 792-9231
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 031133 Georgia

Profile Details

NPI number 1447280045
LBN Legal business name Spilker, Edward Fraser
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447280045 NPPES
Georgia Other 202I081393 MEDICARE PTAN

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