Individual
DR. GEORGE THOMAS SPROUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 COMMUNITY DR, WAYNESBORO, VA 22980-9505
(540) 949-0118
(540) 949-8903
Mailing address
19 GREEN HILLS DRIVE, VERONA, VA 24482-2659
(540) 949-0118
(540) 932-2059
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101028473
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200370
SOUTHERN HEALTH
VA
01
—
245894
ANTHEM
VA
01
—
45630
SENTARA
VA
01
—
6736718
VA PREMIER
VA
05
—
6736718
—
VA
Enumeration date
08/29/2005
Last updated
01/31/2014
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