Mark Spivey Orthopedic Clinic LLC

Organization Active NPI Orthopaedic Surgery Physician · Reidsville, GA

NPI 1962748368 · NPPES record last updated Dec 13, 2012

Key facts

NPI
1962748368
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
MARK SPIVEY ORTHOPEDIC CLINIC LLC
Practice address
247 S Main St
Reidsville, GA 30453-4605
Phone
(912) 537-4411
Fax
(912) 538-8485
NPI assigned
Dec 13, 2012
Organization subpart
No

Authorized official

Name
Charles M Spivey, MD
Title
Owner
Phone
(912) 537-4411

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207X00000X Yes

Addresses

Primary practice location

247 S Main St
Reidsville, GA 30453-4605

Mailing address

3301 E 1St St
Ste a
Vidalia, GA 30474-8674
Phone (912) 537-4411

Other providers in Reidsville, GA

All providers in Reidsville, GA · Orthopaedic Surgery Physician in Georgia

Sources for this page

Verify at the official NPI Registry.