Individual
GREGORY M GEORGIADIS
Active
Individual
GREGORY M GEORGIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35058405
OH
207XX0801X
Orthopaedic Trauma Physician
35058405
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000502458
ANTHEM
OH
01
—
01739
PARAMOUNT
OH
01
—
0962909
BCMH
OH
05
—
0962909
—
OH
01
—
12-16741
UHC
OH
01
—
4418637
AETNA
OH
05
—
4944110
—
OH
01
—
P00366740
RRM
OH
Enumeration date
08/29/2005
Last updated
11/03/2023
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