Healthcare Provider Details

I. General information

NPI: 1245145580
Provider Name (Legal Business Name): TOREY SPENCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 AIRPORT RD LOT 3
CAIRO GA
39828-3782
US

IV. Provider business mailing address

PO BOX 1552
CAIRO GA
39828-0970
US

V. Phone/Fax

Practice location:
  • Phone: 229-516-0712
  • Fax:
Mailing address:
  • Phone: 229-672-8969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: