Provider Demographics
NPI:1356069421
Name:SPICER, MORIKA N (RDNS)
Entity type:Individual
Prefix:
First Name:MORIKA
Middle Name:N
Last Name:SPICER
Suffix:
Gender:F
Credentials:RDNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 MALTESE DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-8872
Mailing Address - Country:US
Mailing Address - Phone:470-771-2629
Mailing Address - Fax:
Practice Address - Street 1:2993 SANDY PLAINS RD STE 215B
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4695
Practice Address - Country:US
Practice Address - Phone:470-771-2629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist