Individual
DR. G. COURTNEY HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 GORDON AVE, THOMASVILLE, GA 31792-6644
(229) 228-7200
(229) 228-5193
Mailing address
416 GORDON AVE, THOMASVILLE, GA 31792-6644
(229) 228-7200
(229) 228-5193
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
018675
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
18675
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000210779A
—
GA
01
—
238212HO
BCBS
GA
Enumeration date
11/08/2006
Last updated
09/12/2013
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