# GEORGE M. WOLVERTON M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreen Medical Centre
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962421990
- **Authorized official:** DR. STEVEN MITCHELL JOHNSON D.O. (MEDICAL DOCTOR)
- **Authorized official phone:** (812) 282-4309

## Contact information

- **Practice address:** 300 SPRING ST STE 3B, JEFFERSONVILLE, IN 47130-3498
- **Practice address phone:** (812) 282-4309
- **Practice address fax:** (812) 283-8299
- **Mailing address:** 8009 WEYANOKE CT, PROSPECT, KY 40059-9426
- **Mailing address phone:** (502) 292-0428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 50000563 | IN | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 04/28/2014