Individual
GEORGE ELLIOTT MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2085
(317) 845-1305
(317) 842-3641
Mailing address
6418 LANDBOROUGH SOUTH DR, INDIANAPOLIS, IN 46220-4357
(317) 845-1305
(317) 842-3621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01021201
IN
207W00000X
Ophthalmology Physician
Primary
01021201
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090298
ANTHEM BLUE NETWORK
IN
01
—
351924614002
ANTHEM BCBS
IN
Enumeration date
11/24/2006
Last updated
09/13/2012
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