Gonzalez, George Daniel

Gonzalez, George Daniel is an individual health care provider with primary practice located at 444 Clinchfield Street Suite 2900, Kingsport TN 37660. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Gonzalez, George Daniel can be contacted via phone (423) 245-6101.

Contact Information

Primary practice address
444 Clinchfield Street Suite 2900 Kingsport TN 37660
Phone: (423) 245-6101
Fax: (423) 245-2396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD19962 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD19962 Tennessee
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD19962 Tennessee

Profile Details

NPI number 1588683585
LBN Legal business name Gonzalez, George Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Mar 10th, 2015 - about 10 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 1588683585 NPPES
Virginia Other 265295 ANTHEM BCBS VIRGINIA
Virginia Other 20043969 ANTHEM BCBS VIRGINIA
Virginia MEDICAID 3046049 ANTHEM BCBS VIRGINIA
Virginia Other 4656188 ANTHEM BCBS VIRGINIA
Virginia Other 3130863 ANTHEM BCBS VIRGINIA
Virginia Other 7311095 ANTHEM BCBS VIRGINIA

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