Individual
MR. GEORGE W. PRIVETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 HARRODSBURG RD, SUITE 100, LEXINGTON, KY 40504-3601
(859) 278-7226
(859) 276-1540
Mailing address
1725 HARRODSBURG RD, SUITE 100, LEXINGTON, KY 40504-3601
(859) 278-7226
(859) 276-1540
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
14905
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048243
ANTHEM BCBS
KY
01
—
611033603
HUMANA
KY
05
—
64149057
—
KY
Enumeration date
03/31/2006
Last updated
06/02/2015
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