Individual
RHONDA SUE SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
95 AVIEMORE DR, PINEHURST, NC 28374-9797
(910) 295-4489
Mailing address
95 AVIEMORE DR, PINEHURST, NC 28374-9797
(910) 295-4489
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
CFM02938
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417333014
—
NC
Enumeration date
08/05/2015
Last updated
03/15/2018
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