Provider Demographics
NPI:1902591233
Name:BELCHER, ERIC SPIRES (MD,MLS,SM,MB,DLM,QLS)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SPIRES
Last Name:BELCHER
Suffix:
Gender:M
Credentials:MD,MLS,SM,MB,DLM,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:2024-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA246QM0900X, 390200000X, 246Q00000X, 246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No246QM0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMicrobiology
No246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology
No246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1188OtherAMERICAN SOCIETY FOR CLINICAL PATHOLOGY
7413OtherAMERICAN SOCIETY FOR CLINICAL PATHOLOGY
20151936OtherAMERICAN ASSOCIATION OF BIOANALYSTS
2693959OtherAMERICAN MEDICAL TECHNOLOGISTS
261842OtherAMERICAN SOCIETY FOR CLINICAL PATHOLOGY
5655OtherAMERICAN SOCIETY FOR CLINICAL PATHOLOGY