Spivey, Jerry Allen

Spivey, Jerry Allen is an individual health care provider with primary practice located at 1030 Founders Row , Greensboro GA 30642. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Spivey, Jerry Allen can be contacted via phone (706) 433-0723.

Contact Information

Primary practice address
1030 Founders Row Greensboro GA 30642
Phone: (706) 433-0723
Fax: (706) 549-7558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 065063 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 065063 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 65063 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 65063 Georgia

Profile Details

NPI number 1538369343
LBN Legal business name Spivey, Jerry Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Feb 2nd, 2015 - about 9 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 1538369343 NPPES
Georgia MEDICAID 003115310C
Georgia MEDICAID 003115310B
Georgia MEDICAID 003115310E

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