Individual
GEORGE W SORRELLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1614 25TH ST, BEDFORD, IN 47421-5000
(812) 277-0118
(812) 277-0127
Mailing address
1614 25TH ST, BEDFORD, IN 47421-5000
(812) 277-0118
(812) 277-0127
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01019829A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167210
—
IN
Enumeration date
07/05/2005
Last updated
12/18/2019
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