Spota, Joseph Richard

Spota, Joseph Richard is an individual health care provider with primary practice located at 330 Turner Mccall Blvd Sw , Rome GA 30165-5630. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Spota, Joseph Richard can be contacted via phone (706) 802-2000.

Contact Information

Primary practice address
330 Turner Mccall Blvd Sw Rome GA 30165-5630
Phone: (706) 802-2000
Fax: (706) 233-9846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN061193 Georgia

Profile Details

NPI number 1952397721
LBN Legal business name Spota, Joseph Richard
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Dec 11th, 2009 - about 17 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 1952397721 NPPES
Georgia MEDICAID 000498759D

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