Individual
DR. DAVID GEORGE, THOMAS PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018E9
BCBS GROUP NUMBER
NC
01
—
085YW
BCBS PROVIDER NUMBER
NC
05
—
5903539
—
NC
Enumeration date
05/09/2006
Last updated
07/09/2007
Update your record
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