Individual
DR. DANIEL JASON SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
236 W MCINTYRE ST, MULLINS, SC 29574-3524
(843) 464-0372
Mailing address
236 W MCINTYRE ST, MULLINS, SC 29574-3524
(843) 464-0372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14340
SC
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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