Healthcare Provider Details

I. General information

NPI: 1225022684
Provider Name (Legal Business Name): GEORGE FRANKLIN WELSH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 MONTGOMERY RD
MONTGOMERY OH
45242-4402
US

IV. Provider business mailing address

10921 REED HARTMAN HWY STE 324
BLUE ASH OH
45242-2849
US

V. Phone/Fax

Practice location:
  • Phone: 513-865-1111
  • Fax:
Mailing address:
  • Phone: 513-519-9100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number35040107W
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: