Provider Demographics
NPI:1134368970
Name:DAY, BILL L (DC)
Entity type:Individual
Prefix:DR
First Name:BILL
Middle Name:L
Last Name:DAY
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 1:1505 JIMMY ST
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:GA
Mailing Address - Zip Code:31620-1206
Mailing Address - Country:US
Mailing Address - Phone:229-563-3458
Mailing Address - Fax:
Practice Address - Street 1:1505 JIMMY ST
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:GA
Practice Address - Zip Code:31620-1206
Practice Address - Country:US
Practice Address - Phone:229-563-3458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR001631111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAT91961Medicare UPIN
GA352CGJQMedicare PIN