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Individual

DR. GEORGE L. ALCORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1373 E STATE ROAD 62 STE 1D, MADISON, IN 47250-7328
(812) 801-0828
(812) 801-0344
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01028535
IN
207RP1001X
Pulmonary Disease Physician
01028535A
IN
2086S0129X
Vascular Surgery Physician
01028535A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100204700
IN
05
64754724
KY
Enumeration date
10/24/2005
Last updated
10/13/2025
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