Healthcare Provider Details
I. General information
NPI: 1134219652
Provider Name (Legal Business Name): CRAIG W GEORGE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/13/2006
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
124 CROSS COUNTY PLZ
BATESVILLE IN
47006-8833
US
IV. Provider business mailing address
401 W EADS PKWY STE 320
LAWRENCEBURG IN
47025-1374
US
V. Phone/Fax
- Phone: 812-539-2900
- Fax: 812-539-2999
- Phone: 812-539-2900
- Fax: 812-539-2999
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 08001964A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: