Individual
DAVID SEVIER SPAINHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1132 N CHURCH ST STE 200, GREENSBORO, NC 27401-1040
(336) 379-9445
(336) 544-7180
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100423
NC
363AM0700X
Medical Physician Assistant
100423
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
895177X
—
NC
Enumeration date
09/20/2005
Last updated
08/12/2021
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