Individual
GEORGE BEVERLY WINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1009 N STATE OF FRANKLIN ACCESS ROAD, JOHNSON CITY, TN 37604-3693
(423) 929-7546
(423) 929-7968
Mailing address
1009 N STATE OF FRANKLIN ACCESS ROAD, JOHNSON CITY, TN 37604-3693
(423) 929-7546
(423) 929-7968
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18274
TN
207ND0101X
MOHS-Micrographic Surgery Physician
18274
TN
207NS0135X
Procedural Dermatology Physician
18274
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031272
—
TN
Enumeration date
05/23/2005
Last updated
06/22/2012
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