Individual
TARA O. SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CCNS, CEN
Contact information
Practice address
EMERGENCY DEPARTMENT, MARTIN ARMY COMMUNITY HOSPITAL, BLDG 9200, FT. BENNING, GA 31905
(706) 544-3398
(706) 544-2144
Mailing address
7401 BLACKMON RD APT 2806, COLUMBUS, GA 31909-7524
(706) 221-3453
(706) 544-2144
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
0001187871
VA
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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