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Contact Information

CHARLES M SPIVEY, MD
3301 FIRST STREET EAST
SUITE A
VIDALIA, GA30474
 Phone: 912-537-4411
 Fax: 912-538-8485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES M SPIVEY · (Male)

NPI Number 1861486862
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2005
Last updated 07/27/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 047846
  • GA Medicaid 501468518E
Hospital affiliation(s)
  • DOCTORS HOSPITAL OF TATTNALL THE - (Critical Access)
    247 S MAIN STREET
    REIDSVILLE, GA 30453
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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