Walling, George S

Walling, George S is an individual health care provider with primary practice located at 130 W Ravine Rd , Kingsport TN 37660-3837. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Walling, George S can be contacted via phone (423) 224-4000.

Contact Information

Primary practice address
130 W Ravine Rd Kingsport TN 37660-3837
Phone: (423) 224-4000
Fax: (423) 224-3465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 11022 Tennessee

Profile Details

NPI number 1649265927
LBN Legal business name Walling, George S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated May 16th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649265927 NPPES
Other 441965 ANTHEM BCBS
MEDICAID 3628991 ANTHEM BCBS
Other 3810000367 ANTHEM BCBS
MEDICAID 74004003 ANTHEM BCBS
Other TN0100 ANTHEM BCBS
Other 8902470 ANTHEM BCBS
Other 100036230 ANTHEM BCBS
Other 430064727 ANTHEM BCBS
Other 00013859 ANTHEM BCBS
Other 4018979 ANTHEM BCBS

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