Individual provider · Type 1 NPI

Tara Roberts Spivey, PA-C, MPAS

Medical Physician Assistant · Douglas, GA

NPI number 1982610150 Active

Practice location

1400 Peterson Ave N Ste C
Douglas, GA 31533-2833

Call (912) 384-6276 Map

Mailing address

PO Box 2109
Douglas, GA 31534-2109

Other practice locations

  • 1208 Ocilla Rd, Douglas, GA 31533-2220 · (912) 384-6276

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X003767 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1982610150

Tara Roberts Spivey, PA-C, MPAS's National Provider Identifier is 1982610150, issued on Jul 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Douglas, GA. The record was last updated on Jan 19, 2024.