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Mrs. Tara Roberts Spivey, PA-C,MPAS
Medical Physician Assistant in Douglas, Georgia
NPI 1982610150

Tara Roberts Spivey is a Medical Physician Assistant based in Douglas, GA and is specialized in Medical. Tara Roberts Spivey practices in Douglas, GA and has the professional credentials of PA-C,MPAS. The NPI Number for Tara Roberts Spivey is 1982610150 and holds a License No. 003767 (Georgia).

The current practice location address for Tara Roberts Spivey is 1400 Peterson Ave N Ste C, Douglas, GA and can be reached out via phone at 912-384-6276.

Location: 1400 Peterson Ave N Ste C, Douglas, GA, 31534-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982610150
Provider Name
Tara Roberts Spivey
Credential
PA-C,MPAS
Provider Entity Type
Individual
Gender
Female
Address
1400 Peterson Ave N Ste C, Douglas, GA, 31534-2109
Phone Number
912-384-6276
Fax Number
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
791479760A 05 GA
institution
Provider Business Practice Location Address Details
Address
1400 Peterson Ave N Ste C
City
Douglas
State
Georgia
Zip
31533-2833
Phone Number
912-384-6276
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Peterson Ave N Ste C
City
Douglas
State
Georgia
Zip
31533-2833
Phone Number
912-384-6276
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
003767 (Georgia)
Definition
Definition to come...
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