Individual
DR. GEORGE L IVEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 COUNTY SERVICES DR, COOKEVILLE, TN 38501-4338
(931) 528-2531
(931) 526-7453
Mailing address
1100 ENGLAND DR, COOKEVILLE, TN 38501-0924
(931) 520-4466
(931) 520-3871
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD 14169
TN
208D00000X
General Practice Physician
Primary
MD14169
TN
Other
Enumeration date
10/07/2005
Last updated
03/17/2018
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