Individual
DR. GEORGE A ROUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1937 MEDICAL AVE, HARRISONBURG, VA 22801-3437
(540) 433-6967
(540) 433-1328
Mailing address
1937 MEDICAL AVE, HARRISONBURG, VA 22801-3437
(540) 433-6967
(540) 433-1328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101026546
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051127
BLUE SHIELD
VA
01
—
114819
SOUTHERN HEALTH
VA
05
—
6004598
—
VA
Enumeration date
06/29/2006
Last updated
07/08/2007
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