Individual
DR. WILLIAM RONALD SPOONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
321 N BROAD ST, CAIRO, GA 39828-2110
(229) 377-5432
(229) 377-5012
Mailing address
321 N BROAD ST, P. O. BOX 487, CAIRO, GA 39828-2110
(229) 377-5432
(229) 377-5012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000803
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000110492A
—
GA
Enumeration date
05/05/2006
Last updated
09/07/2012
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