Provider Demographics
NPI:1033622345
Name:SPIVEY, EUGENIA COTREACE (MED)
Entity Type:Individual
Prefix:MRS
First Name:EUGENIA
Middle Name:COTREACE
Last Name:SPIVEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211B SYLVAN RD
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-4815
Mailing Address - Country:US
Mailing Address - Phone:229-373-0627
Mailing Address - Fax:
Practice Address - Street 1:523 US HIGHWAY 280 E
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-5400
Practice Address - Country:US
Practice Address - Phone:229-931-2406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator