Keough, George C

Keough, George C is an individual health care provider with primary practice located at 123 Fox Rd , Knoxville TN 37922-3369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Keough, George C can be contacted via phone (865) 690-9467.

Contact Information

Primary practice address
123 Fox Rd Knoxville TN 37922-3369
Phone: (865) 690-9467
Fax: (865) 637-5057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD0000035098 Tennessee
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD0000035098 Tennessee

Profile Details

NPI number 1942286729
LBN Legal business name Keough, George C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Aug 7th, 2020 - about 4 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 1942286729 NPPES
Tennessee Other 7527158 AETNA
Tennessee MEDICAID 3862971 AETNA
Tennessee Other 4145097 AETNA

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