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George Hurst Provosty, MD
Diagnostic Radiology Physician in Lumberton, North Carolina
NPI 1922091115

George Hurst Provosty is a Diagnostic Radiology Physician based in Lumberton, NC and is specialized in Diagnostic Radiology. George Hurst Provosty practices in Lumberton, NC and has the professional credentials of MD. The NPI Number for George Hurst Provosty is 1922091115 and holds a License No. 000018135 (North Carolina).

The current practice location address for George Hurst Provosty is 209 West 27Th Street, Lumberton, NC and can be reached out via phone at 910-738-8222 and via fax at 910-671-0846.

Location: 209 West 27Th Street, Lumberton, NC, 28359-1527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922091115
Provider Name
George Hurst Provosty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
209 West 27Th Street, Lumberton, NC, 28359-1527
Phone Number
910-738-8222
Fax Number
910-671-0846
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
69325 01 NC BLUE CROSS BLUE SHIELD
8969325 05 NC
institution
Provider Business Practice Location Address Details
Address
209 West 27Th Street
City
Lumberton
State
North Carolina
Zip
28358-3016
Phone Number
910-738-8222
Fax Number
910-671-0846
person
Provider Business Mailing Address Details
Address
209 West 27Th Street
City
Lumberton
State
North Carolina
Zip
28358-3016
Phone Number
910-738-8222
Fax Number
910-671-0846
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
000018135 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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