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Organization

PREFERRED PAIN MANAGEMENT, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID SPIVEY M.D. (OWNER)
(336) 760-0706
Entity
Organization

Contact information

Practice address
851 OLD WINSTON RD, SUITE 105, KERNERSVILLE, NC 27284-8780
(336) 760-0706
Mailing address
245 CHARLOIS BLVD, SUITE C, WINSTON SALEM, NC 27103-1507
(336) 760-0706

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Enumeration date
02/18/2011
Last updated
02/18/2011
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