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Individual
GEORGE SPANOS
Active
Individual
GEORGE SPANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
810
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3307622
—
TN
01
—
4106215
BCBS
—
01
—
P00276317
RR MEDICARE
—
Enumeration date
07/04/2006
Last updated
07/16/2009
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