Provider Demographics
NPI:1992865059
Name:STEARNS, WILLIAM P (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:P
Last Name:STEARNS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 SEMINOLE DR NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1508
Mailing Address - Country:US
Mailing Address - Phone:770-428-4909
Mailing Address - Fax:770-428-0903
Practice Address - Street 1:596 SEMINOLE DR NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1508
Practice Address - Country:US
Practice Address - Phone:770-427-9046
Practice Address - Fax:770-428-0903
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO04779111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACHIRO04779OtherCHIROPRACTIC LIC.
GU35ZCBSVMedicare ID - Type Unspecified