Individual
BEVERLY J SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1314 MEDICAL DR, SUITE 102, FAYETTEVILLE, NC 28304-4442
(910) 323-2503
(910) 323-4260
Mailing address
PO BOX 15133, DURHAM, NC 27704-0133
(919) 477-5152
(919) 477-5474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25957
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78945
BLUE CROSS
NC
05
—
8978945
—
NC
Enumeration date
02/24/2006
Last updated
06/13/2013
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