Individual
GEORGE DWAIN SPILLMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 SAN ANTONIO AVE., STE A, MANY, LA 71449
(318) 256-5200
(318) 256-5201
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(318) 202-3706
(318) 202-3707
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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