Individual
MR. KEVIN MITCHELL SPIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 320, MARIETTA, GA 30068-4357
(678) 341-6370
Mailing address
100 PIEDMONT RD NE, MARIETTA, GA 30066-3636
(229) 569-0815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3-002757
AL
363LF0000X
Family Nurse Practitioner
31579
SC
363LF0000X
Family Nurse Practitioner
40900
TN
363LF0000X
Family Nurse Practitioner
C-APN.0105834-C-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
RN278291
GA
Other
Enumeration date
03/13/2023
Last updated
03/20/2026
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