MRS. Tara Roberts Spivey, PA-C, MPAS

NPI #1982610150 in Douglas, Georgia

Provider Information

NPI Number
1982610150
Entity Type
Individual
Name
MRS. Tara Roberts Spivey, PA-C, MPAS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C, MPAS
Enumeration Date
Jul 31, 2006
Last Updated
Jan 19, 2024

Practice Location

Address
1400 PETERSON AVE N STE C
State
Georgia
ZIP Code
31533-2833
Phone
(912) 384-6276

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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