Individual
NATHAN SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
(334) 615-7281
Mailing address
105 MANNINGTON CT, DOTHAN, AL 36305-6326
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
065896
GA
207L00000X
Anesthesiology Physician
109878
FL
207L00000X
Anesthesiology Physician
12128
FL
207L00000X
Anesthesiology Physician
Primary
30996
AL
207Q00000X
Family Medicine Physician
002489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065896
GEORGIA LICENSE
GA
01
—
MD.30996
ALABAMA LICENSE
AL
01
—
ME109878
FL LICENSE
FL
Enumeration date
07/26/2007
Last updated
07/18/2011
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