Spivey, Beverly J

Spivey, Beverly J is an sole proprietor health care provider with primary practice located at 1314 Medical Dr Suite 102, Fayetteville NC 28304-4442. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Spivey, Beverly J can be contacted via phone (910) 323-2503.

Contact Information

Primary practice address
1314 Medical Dr Suite 102 Fayetteville NC 28304-4442
Phone: (910) 323-2503
Fax: (910) 323-4260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25957 North Carolina

Profile Details

NPI number 1417923087
LBN Legal business name Spivey, Beverly J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2006
Last updated Jun 13th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417923087 NPPES
North Carolina Other 78945 BLUE CROSS
North Carolina MEDICAID 8978945 BLUE CROSS

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