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Organization
GEORGE CARL BORST III PSC
Active
Organization
GEORGE CARL BORST III PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE C BORST III M.D. (PRESIDENT)
(606) 326-1101
Entity
Organization
Contact information
Practice address
1201 ST.CHRISTOPHER DRIVE, ASHLAND, KY 41101-7064
(606) 324-1101
(606) 324-0404
Mailing address
1201 ST. CHRISTOPHER DRIVE, ASHLAND, KY 41101-7064
(606) 324-1101
(606) 324-0404
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
21922
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005638
—
WV
01
—
5605
MEDICARE
KY
05
—
65931537
—
KY
01
—
CM3265
RAILROAD MEDICARE
KY
Enumeration date
06/05/2006
Last updated
12/05/2014
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