Individual
KINSEY SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
42 W MAIN ST, LAKELAND, GA 31635-6835
(229) 482-3677
Mailing address
PO BOX 128, FARGO, GA 31631-0128
(229) 834-5267
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029463
GA
Other
Enumeration date
09/09/2016
Last updated
02/01/2021
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