Individual
DR. GEORGE M KINGSLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
115 MEDICAL DR, PALESTINE, TX 75801-4781
(903) 723-8554
(903) 723-2054
Mailing address
115 MEDICAL DR, PALESTINE, TX 75801-4781
(903) 723-8554
(903) 723-2054
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
34006576
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
M1837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176815202
—
TX
05
—
176815203
—
TX
05
—
176815204
—
TX
Enumeration date
08/31/2005
Last updated
02/19/2014
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