George Spanos, DO | |
650 Nuckolls Rd, Bolivar, TN 38008-1532 | |
(731) 660-8759 | |
Not Available |
Full Name | George Spanos |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 650 Nuckolls Rd, Bolivar, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760412654 | NPI | - | NPPES |
3307622 | Medicaid | TN | |
4106215 | Other | BCBS | |
P00276317 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 810 (Tennessee) | Primary |
Entity Name | Emergency Coverage Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Entity Name | Afc Physicians Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114234523 PECOS PAC ID: 5395924823 Enrollment ID: O20110128000880 |
Entity Name | Memphis Urgent Care #2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164840609 PECOS PAC ID: 0648407023 Enrollment ID: O20131210000737 |
Entity Name | Memphis Urgent Care #1, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073935003 PECOS PAC ID: 9335468206 Enrollment ID: O20150428001395 |
Entity Name | Carespot Of Memphis, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518405034 PECOS PAC ID: 4587940903 Enrollment ID: O20170418002889 |
Mailing Address | Practice Location Address |
---|---|
George Spanos, DO 1804 Highway 45 Byp, Ste 604, Jackson, TN 38305-4436 Ph: (731) 660-8759 | George Spanos, DO 650 Nuckolls Rd, Bolivar, TN 38008-1532 Ph: (731) 660-8759 |