Spivey, Charles M

Spivey, Charles M is an individual health care provider with primary practice located at 3301 First Street East Suite A, Vidalia GA 30474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Spivey, Charles M can be contacted via phone (912) 537-4411.

Contact Information

Primary practice address
3301 First Street East Suite A Vidalia GA 30474
Phone: (912) 537-4411
Fax: (912) 538-8485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 047846 Georgia

Profile Details

NPI number 1861486862
LBN Legal business name Spivey, Charles M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 27th, 2010 - about 15 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 1861486862 NPPES
Georgia MEDICAID 501468518E

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