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Individual

DR. GEORGE B SONNIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 E BROADWAY, STE 200, LOUISVILLE, KY 40202-1745
(502) 585-5249
(502) 585-5251
Mailing address
310 E BROADWAY STE 200, LOUISVILLE, KY 40202-1745
(502) 585-5249
(502) 585-5251

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
32539
KY
207ZD0900X
Dermatopathology (Pathology) Physician
32539
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
32539
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000247638
ANTHEM
KY
01
01896394
ANTHEM MA
KY
01
03-00228
UNITED HEALTHCARE
KY
01
096605
HEALTH ALLIANCE
KY
01
114358
AETNA BETTER HEALTH
KY
05
200091750A
IN
01
300047661100
HUMANA CARESOURCE
KY
05
3103050
NH
05
4046475
TN
01
480193
HEALTHLINK
KY
01
50115684
PASSPORT
KY
01
601519
WELLCARE MA
KY
05
64984495
KY
01
690009345
MEDICARE RR
KY
Enumeration date
05/23/2005
Last updated
02/19/2021
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