| NPI | 1104017821 |
|---|---|
| Doing Business As | MARK SPIVEY ORTHOPEDIC CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLES M SPIVEY Owner 912-537-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 047846) |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2012-10-31 |