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Individual

MATTHEW GRAY SPIVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7210 VILLAGE MEDICAL CIR STE 110, CLEMMONS, NC 27012-8041
(336) 893-2400
(336) 893-2410
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 893-2400
(336) 893-2410

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2022-01290
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2022-01290
NC

Other

Enumeration date
04/13/2016
Last updated
08/16/2023
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