George Daniel Gonzalez in Kingsport - Vascular Surgery

George Daniel Gonzalez - NPI 1588683585

George Daniel Gonzalez is a Vascular Surgery in Kingsport, Tennessee. George Daniel Gonzalez practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for George Daniel Gonzalez is 1588683585. The last update date is 2015-03-10.

George Daniel Gonzalez's current location address is 444 Clinchfield Street, Kingsport, Tennessee. You can contact this provider via phone number 4232456101 and fax number 4232452396. The mailing address for George Daniel Gonzalez is 444 Clinchfield Street, Kingsport, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name George Daniel Gonzalez
Address 444 Clinchfield Street, Kingsport, Tennessee
Phone Number 4232456101
Fax Number 4232452396
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1588683585
Provider Enumeration Date 2006-07-19
Last Updated Date 2015-03-10

Provider Mailing Address Detail

Address 444 Clinchfield Street
City Kingsport
State Tennessee (TN)
Post Code 37660
Phone Number 4232456101
Fax Number 4232452396

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No MD19962
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
265295 VA ANTHEM BCBS VIRGINIA
20043969 TN RAILROAD MEDICARE
3046049 TN --
4656188 AETNA
3130863 TN BCBS TENNESSEE
7311095 VA VIRGINIA MEDICAID

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FAQs about George Daniel Gonzalez

What is the unique identifier code issued to George Daniel Gonzalez by the Centers for Medicare & Medicaid Services (CMS)?

The George Daniel Gonzalez has been assigned the NPI (National Provider Identifier) 1588683585. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where George Daniel Gonzalez's facilities are geographically located?

The facilities of George Daniel Gonzalez are physically situated at the following location: 444 Clinchfield Street, Kingsport, TN, 37660.

What is George Daniel Gonzalez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for George Daniel Gonzalez is Vascular Surgery, and the taxonomy code that classifies this field of practice is 2086S0129X.

On what date did the George Daniel Gonzalez receive the assignment of its 1588683585 from the Centers for Medicare & Medicaid Services?

The George Daniel Gonzalez was issued its 1588683585 by the Centers for Medicare & Medicaid Services on 2006-07-19.

As of what date was the information pertaining to George Daniel Gonzalez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to George Daniel Gonzalez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-10.

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