Wilson, George Dean

Wilson, George Dean is an sole proprietor health care provider with primary practice located at 105 Woodlawn Drive , Johnson City TN 37602-5978. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wilson, George Dean can be contacted via phone (423) 928-6174.

Contact Information

Primary practice address
105 Woodlawn Drive Johnson City TN 37602-5978
Phone: (423) 928-6174
Fax: (423) 926-2258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD011166 Tennessee

Profile Details

NPI number 1437104114
LBN Legal business name Wilson, George Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Mar 3rd, 2009 - about 16 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 1437104114 NPPES
Kentucky MEDICAID 64796980
Kentucky Other 130014480
Kentucky MEDICAID 7906816
Kentucky Other 1292658
Kentucky Other 602005579
Kentucky Other 0118991
Kentucky Other 0140000775
Kentucky MEDICAID 6196853
Kentucky Other A55508
Kentucky Other 164888600
Kentucky MEDICAID 3168835

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