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Individual

JAMES W SPIVEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
212 HOSPITAL DR, SUITE M, WARNER ROBINS, GA 31088-4207
(478) 923-0153
Mailing address
PO BOX 26040, MACON, GA 31221-6040
(478) 475-1299
(478) 405-7928

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
012006
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00071827B
GA
01
200006612
RAILROAD MEDICARE
Enumeration date
11/10/2006
Last updated
06/19/2008
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