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Individual

DR. GEORGE C KEOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
93326
SC
207N00000X
Dermatology Physician
MD0000035098
TN
207NS0135X
Procedural Dermatology Physician
MD0000035098
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3862971
TN
01
4145097
BLUE CROSS BLUE SHIELD
TN
01
7527158
AETNA
TN
Enumeration date
12/22/2005
Last updated
06/04/2026
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