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Individual
MR. GEORGE W. PRIVETT JR.
Active
Individual
MR. GEORGE W. PRIVETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
14905
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048243
ANTHEM BCBS
KY
01
—
611033603
HUMANA
KY
05
—
64149057
—
KY
Enumeration date
03/31/2006
Last updated
06/02/2015
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