Spivey, Judith A.

Spivey, Judith A. is an individual health care provider with primary practice located at 200 Patewood Dr Suite B200, Greenville SC 29615-3593. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Spivey, Judith A. can be contacted via phone (864) 232-7338.

Contact Information

Primary practice address
200 Patewood Dr Suite B200 Greenville SC 29615-3593
Fax: (864) 239-6645
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 17225 South Carolina

Profile Details

NPI number 1740375120
LBN Legal business name Spivey, Judith A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated May 23rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740375120 NPPES
South Carolina MEDICAID 172257

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