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Individual

MS. ALICE CHRISTELLA SPIVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0143
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0143

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA93
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009939081
AL
01
0366100001
MC NSC
AL
01
R38292
HEALTH SPRINGS
AL
Enumeration date
02/13/2006
Last updated
09/28/2009
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