1255497277

Everything you always wanted to know about DR. SPAIN WILLIAM GEORGE D.C. but were afraid to ask.

DR. SPAIN WILLIAM GEORGE D.C.

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. SPAIN WILLIAM GEORGE D.C.
Gender:
Male
Enumeration date:
2006-12-28
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
89487 Medicare ID-Type Undpecified none FL
T85981 Medicare UPIN none FL
5338803 Other AETNA FL

Taxonomies

Taxonomy State License Number Primary?
111N00000X Chiropractor FL CH0001359 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 8504791212
Practice Location Address Telephone Number 8504791212
Mailing Address Fax Number 8505057877
Practice Location Address Fax Number 8505057877

Addresses

Type Address City State Postal Country
Mailing Address 8183 KIPLING ST PENSACOLA FL 32514 FL
Practice Location Address 8183 KIPLING ST PENSACOLA FL 32514 FL