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Individual

MRS. CAROLE L SPICER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
121 COURTHOUSE LANE, BOWLING GREEN, VA 22427
(804) 633-5840
(804) 633-4438
Mailing address
PO BOX 450, 121 COURTHOUSE LANE, BOWLING GREEN, VA 22427-0450
(804) 633-5840
(804) 633-4438

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840334
VA

Other

Enumeration date
04/30/2008
Last updated
04/30/2008
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