Healthcare Provider Details

I. General information

NPI: 1861313892
Provider Name (Legal Business Name): SYDNEY SPEIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 STATE ROUTE 96 SUITE 1800
WARNER ROBINS GA
31088
US

IV. Provider business mailing address

203 OBSIDIAN DR
PERRY GA
31069-5024
US

V. Phone/Fax

Practice location:
  • Phone: 478-287-2169
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH036283
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: