Individual
DR. GEORGE HALE GOLDSMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 E BROADWAY, LOUISVILLE, KY 40202-3700
(502) 629-2500
(502) 629-2055
Mailing address
315 E BROADWAY, LOUISVILLE, KY 40202-3700
(502) 629-2500
(502) 629-2055
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01056028A
IN
207RH0003X
Hematology & Oncology Physician
Primary
28529
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000205727
ANTHEM
—
01
—
1167829
PASSPORT
—
05
—
200058560A
—
IN
05
—
64285299
—
KY
01
—
P00023360
RAILROAD MEDICARE
—
Enumeration date
02/09/2006
Last updated
02/02/2017
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