Individual
GEORGE ELWOOD ESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00007427
AL
207R00000X
Internal Medicine Physician
Primary
47366
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000152205
ANTHEM
OH
01
—
0004276065
AETNA PIN #
—
05
—
0488360
—
OH
01
—
146004000
OH DEPT OF LABOR
—
01
—
52130546900
OH BUREAU W/C
—
01
—
521305469001
MEDICAL MUTUAL
—
01
—
5213054690010
CIGNA
—
05
—
64781172
—
OH
Enumeration date
10/13/2005
Last updated
04/11/2012
Update your record
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