Spalding Surgery LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SPALDING SURGERY LLC

Practice address

655 Will Street
Griffin, GA 30224-4236

Phone

(770) 229-6072

Fax

(770) 229-2111

NPI assigned

Jul 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael V. Robertson, M.D.

Title

Partner

Phone

(770) 229-6072

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1528268232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 WILL STREET",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244236",
            "telephone_number": "770-229-6072",
            "fax_number": "770-229-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 WILL STREET",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244236",
            "telephone_number": "770-229-6072",
            "fax_number": "770-229-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPALDING SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-229-6072",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Courtney Renee Stanley, PA-C
• Kaylan Stanley, RBT

• Specialist in Griffin, GA
• Providers in Griffin, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.