Organization
PREFERRED PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SPIVEY M.D. (OWNER)
(336) 760-0706
Entity
Organization
Contact information
Practice address
245 CHARLOIS BLVD, SUITE C, WINSTON SALEM, NC 27103-1507
(336) 760-0706
(336) 760-1927
Mailing address
245 CHARLOIS BLVD, SUITE C, WINSTON SALEM, NC 27103-1507
(336) 760-0706
(336) 760-1927
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
002049367
NC
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
Update your record
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