Individual
PATRICK H SPIVEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-4000
Mailing address
551 MAIN ST, THIRD FLOOR, JOHNSTOWN, PA 15901-2032
(814) 539-5724
(814) 536-7092
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16219
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510103
—
TN
05
—
3014486
—
TN
05
—
7100141340
—
KY
Enumeration date
06/16/2006
Last updated
10/12/2015
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