Individual
BASIL A GEORGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1711 27TH STREET, BRAUNLIN BLDG, SUITE 306, PORTSMOUTH, OH 45662
(740) 353-8661
(740) 354-3254
Mailing address
1711 27TH STREET, BRAUNLIN BUILDING, SUITE 306, PORTSMOUTH, OH 45662
(740) 353-8661
(740) 354-3254
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-070727
OH
208600000X
Surgery Physician
OH35070727
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000332646
ANTHEM
OH
05
—
0317606
—
OH
Enumeration date
12/04/2006
Last updated
05/13/2010
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