Provider Demographics
NPI:1578728002
Name:SPILKIN, SIMON MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SIMON
Middle Name:MARTIN
Last Name:SPILKIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1492 TINY TOWN RD
Mailing Address - Street 2:SUITE A1&A2
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-7873
Mailing Address - Country:US
Mailing Address - Phone:931-502-2422
Mailing Address - Fax:931-502-2370
Practice Address - Street 1:1492 TINY TOWN RD
Practice Address - Street 2:SUITE A1&A2
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-7873
Practice Address - Country:US
Practice Address - Phone:931-502-2422
Practice Address - Fax:931-502-2370
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2020-12-03
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Provider Licenses
StateLicense IDTaxonomies
KY44208207P00000X, 207Q00000X
TN51876207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine