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Individual

DR. SCOTT J SPILLMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
326 TAYLOR DR, DANVILLE, VA 24541-4188
(347) 669-8574
Mailing address
PO BOX 1481, YANCEYVILLE, NC 27379-1481
(336) 337-3297

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
38697
NC
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
38697
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2007324000
WV
01
33243
PARTNERS
01
7607781
AETNA
01
78929
BCBS
05
8978929
NC
01
97556
MEDCOST
Enumeration date
01/30/2006
Last updated
10/06/2020
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