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NPI Code Detail

MEDICARE: GEORGE THOMAS GILMORE MD

MEDICARE: GEORGE THOMAS GILMORE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician33333GA
2208600000XSurgery Physician36331TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205836822
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE THOMAS GILMORE MD
Provider Business Mailing Address
First Line : PO BOX 5398
Second Line :
City : FT OGLETHORPE
State : GA
Zip : 30742-0598
Country : US
Telephone Number : 706-866-2740
Fax Number : 706-861-3944
Provider Business Practice Location Address
First Line : 4700 BATTLEFIELD PKWY
Second Line : SUITE 130
City : RINGGOLD
State : GA
Zip : 30736-5166
Country : US
Telephone Number : 706-866-2740
Fax Number : 706-861-3944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 02/05/2013

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Directions to “ GEORGE THOMAS GILMORE MD” Practice Location

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