Individual
GEORGE WATTS COLCLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5956
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 218-5677
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19970
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
19970
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
641997060
—
KY
Enumeration date
09/27/2006
Last updated
02/22/2008
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