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Organization
GEORGE C BORST III MD PSC
Active
Organization
GEORGE C BORST III MD 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
613 23RD ST, PLAZA B SUITE 340, ASHLAND, KY 41101-2878
(606) 326-1101
(606) 326-0404
Mailing address
1201 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7064
(606) 326-1101
(606) 326-0404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21922
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00031
MEDICARE
KY
05
—
3810005639
—
WV
05
—
65931537
—
KY
01
—
CM3265
RAILROAD MEDICARE
KY
Enumeration date
06/05/2007
Last updated
02/06/2008
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