Individual
DR. DAVID GEORGE, THOMAS PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3825 S ROXBORO ST, SUITE 115, DURHAM, NC 27713-2799
(919) 484-4141
(919) 484-4188
Mailing address
3717 SONG SPARROW DR., WAKE FOREST, NC 27587-1630
(919) 744-5508
(919) 484-4188
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
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