Individual
GEORGE ELLIOTT MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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