# GEORGE CARL BORST III PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013956051
- **Authorized official:** DR. GEORGE C BORST III M.D. (PRESIDENT)
- **Authorized official phone:** (606) 326-1101

## Contact information

- **Practice address:** 1201 ST.CHRISTOPHER DRIVE, ASHLAND, KY 41101-7064
- **Practice address phone:** (606) 324-1101
- **Practice address fax:** (606) 324-0404
- **Mailing address:** 1201 ST. CHRISTOPHER DRIVE, ASHLAND, KY 41101-7064
- **Mailing address phone:** (606) 324-1101
- **Mailing address fax:** (606) 324-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 21922 | KY | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 12/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810005638 | — | WV |
| 01 | — | 5605 | MEDICARE | KY |
| 05 | — | 65931537 | — | KY |
| 01 | — | CM3265 | RAILROAD MEDICARE | KY |