Individual
DR. GEORGE WILLIAM DEMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 LONGFIELD CT, MONTGOMERY, AL 36117-8055
(334) 288-9009
(334) 288-9497
Mailing address
1040 LONGFIELD CT, MONTGOMERY, AL 36117-8055
(334) 288-9009
(334) 288-9497
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18765
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107313
—
AL
01
—
51099726
BLUE CROSS OF ALABAMA
AL
Enumeration date
09/30/2005
Last updated
05/03/2013
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