Individual
DR. EUGENE KOHLER BETTS
Active
Individual
DR. EUGENE KOHLER BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
045398
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000790006B
—
GA
05
—
000790006C
—
GA
01
—
050090637
RAILROAD MEDICARE
GA
01
—
339266
WELLCARE CMO
GA
01
—
550789920
TRICARE
GA
01
—
598095
BCBS
GA
05
—
Q15066
—
SC
Enumeration date
09/20/2006
Last updated
12/19/2012
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