Individual
MICHAEL L SPADY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2511 WESLEY ST, JOHNSON CITY, TN 37601-1723
(423) 952-3050
(423) 952-3055
Mailing address
PO BOX 5985, JOHNSON CITY, TN 37602-5985
(423) 915-1126
(423) 915-0635
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD0000019387
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3042014
—
TN
Enumeration date
04/26/2006
Last updated
07/08/2007
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