Individual
GEORGE F. WORTHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6215 HUMPHREYS BLVD, SUITE 401, MEMPHIS, TN 38120-2367
(901) 767-8448
(901) 684-6260
Mailing address
PO BOX 1000, DEPT 375, MEMPHIS, TN 38148-0375
(901) 377-7079
(901) 255-5223
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
015328
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160027513
RAILROAD MEDICARE
—
05
—
3010924
—
TN
01
—
49903
BCBS
TN
Enumeration date
06/16/2006
Last updated
12/15/2011
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