Marcell Gardner Spates's National Provider Identifier (NPI) Details
Marcell Gardner Spates, LPC
NPI: 1164243614
Enumeration Date: 2024-10-17
Last updated: 2024-10-17
Sole Proprietor: YES
Status: active
Postal Address: 3753 OKEFENOKEE RDG, LOGANVILLE, GA
Phone: 404-514-5802
Primary Practice Address: 1431 RIVERSIDE PKWY STE A, LAWRENCEVILLE, GA
Practice's phone: 678-765-9291