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Individual

DR. DAVID SPIVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2912 MAPLEWOOD AVE, WINSTON-SALEM, NC 27103-1507
(336) 760-0706
(336) 760-1927
Mailing address
2912 MAPLEWOOD AVE, WINSTON-SALEM, NC 27103-1507
(336) 760-0706
(336) 760-1927

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
30582
NC
208VP0014X
Interventional Pain Medicine Physician
Primary
30582
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139JW
BLUE CROSS BLUE SHIELD
NC
05
5900809
NC
01
7695691
AETNA
01
DP0069
RR MEDICARE - GROUP PTAN
01
P00722602
RR MEDICARE - PROVIDER PTAN
Enumeration date
12/28/2005
Last updated
06/10/2014
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