Mark Spivey Orthopedic Clinic, Llc in Vidalia - Orthopaedic Surgery
Mark Spivey Orthopedic Clinic, Llc - NPI 1104017821
Mark Spivey Orthopedic Clinic, Llc is a Orthopaedic Surgery in Vidalia, Georgia. Mark Spivey Orthopedic Clinic, Llc practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Mark Spivey Orthopedic Clinic, Llc is 1104017821. The last update date is 2012-10-31.
Mark Spivey Orthopedic Clinic, Llc's current location address is 3301 E 1st St, Vidalia, Georgia. You can contact this provider via phone number 9125374411 and fax number 9125388485. The mailing address for Mark Spivey Orthopedic Clinic, Llc is 3301 E 1st St, Vidalia, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark Spivey Orthopedic Clinic, Llc |
|---|---|
| Address | 3301 E 1st St, Vidalia, Georgia |
| Phone Number | 9125374411 |
| Fax Number | 9125388485 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Spivey M Charles |
| Credentials | MD |
| Telephone Number | 9125374411 |
NPI Number Detail
| NPI Number | 1104017821 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2012-10-31 |
Provider Mailing Address Detail
| Address | 3301 E 1st St |
|---|---|
| City | Vidalia |
| State | Georgia (GA) |
| Post Code | 304748674 |
| Phone Number | 9125374411 |
| Fax Number | 9125388485 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 47846 |
|
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 501468518E | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Spivey Orthopedic Clinic, Llc by the Centers for Medicare & Medicaid Services?
The Mark Spivey Orthopedic Clinic, Llc has been assigned the NPI (National Provider Identifier) 1104017821 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mark Spivey Orthopedic Clinic, Llc's physical address?
The Mark Spivey Orthopedic Clinic, Llc is physically located at 3301 E 1St St, in the city of Vidalia, GA, with the postal code 304748674.
What is Mark Spivey Orthopedic Clinic, Llc's area of expertise and its corresponding taxonomy classification?
The Mark Spivey Orthopedic Clinic, Llc's field of specialization is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1104017821 assigned to Mark Spivey Orthopedic Clinic, Llc?
The Mark Spivey Orthopedic Clinic, Llc was issued its 1104017821 on 2007-08-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark Spivey Orthopedic Clinic, Llc most recently updated or refreshed?
The details pertaining to the Mark Spivey Orthopedic Clinic, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-31.