Provider Demographics
NPI:1902591233
Name:BELCHER, ERIC SPIRES (MD, MLS,SM,MB,QLS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SPIRES
Last Name:BELCHER
Suffix:
Gender:M
Credentials:MD, MLS,SM,MB,QLS
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:ENGLAND RICHARDSON
Other - Last Name:JOHNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MLS,MT
Mailing Address - Street 1:1900 TEBEAU ST
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31501-6357
Mailing Address - Country:US
Mailing Address - Phone:912-283-3030
Mailing Address - Fax:
Practice Address - Street 1:4700 WATERS AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6220
Practice Address - Country:US
Practice Address - Phone:912-350-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA246Q00000X, 246QM0706X, 246QM0900X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology
No246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
No246QM0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMicrobiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
20151936OtherAMERICAN ASSOCIATION OF BIOANALYSTS
261842OtherAMERICAN SOCIETY FOR CLINICAL PATHOLOGY
2693959OtherAMERICAN MEDICAL TECHNOLOGISTS
5655OtherAMERICAN SOCIETY FOR CLINICAL PATHOLOGY
7413OtherAMERICAN SOCIETY FOR CLINICAL PATHOLOGY