Individual
DR. JAMES WALTON GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1816 N WASHINGTON ST, STE 103, TULLAHOMA, TN 37388-2477
(931) 454-9810
(931) 393-1020
Mailing address
PO BOX 1087, TULLAHOMA, TN 37388-1087
(931) 454-9810
(931) 393-1020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD00000162099
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD0000016209
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3015238
—
TN
01
—
4026260
BLUECROSS
TN
01
—
50085011
RAILROAD MEDICARE
TN
Enumeration date
12/06/2005
Last updated
11/11/2011
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