Tara Roberts Spivey PA-C, MPAS

NPI # 

Practice Address:

1400 Peterson Ave N Ste C

Douglas, GA, 31533-2833

Practice Phone:

912-384-6276

License Number:

003767

License State:

GA

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Physician Assistant

Taxonomy Specialization:

Medical

Taxonomy Code:

363AM0700X

Updated by NPPES on 1/19/2024. You can view the original data set for NPI # 1982610150 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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Tara Roberts Spivey , PA-C, MPAS 's

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