Individual
GEORGE W ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4130 DUTCHMANS LN, STE 400, LOUISVILLE, KY 40207-4711
(502) 897-0697
(502) 897-0658
Mailing address
4130 DUTCHMANS LN, STE 400, LOUISVILLE, KY 40207-4711
(502) 897-0697
(502) 897-0658
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20738
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406000000044471
BLUE CROSS/BLUE SHIELD
KY
01
—
0700074
UNITED HEALTHCARE
KY
01
—
1048738
PASSPORT
KY
01
—
160032460
RAILROAD
KY
01
—
610673930G
HUMANA
KY
05
—
6420738400
—
KY
01
—
EMPLOYER'S ID
610673930
KY
Enumeration date
06/15/2005
Last updated
07/09/2007
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