Individual
GEORGE ELWOOD ESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 SCIOTO TRL, PORTSMOUTH, OH 45662-2845
(740) 354-7769
(740) 353-8978
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-4000
(606) 408-3719
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
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