Individual provider · Type 1 NPI

George Hurst Provosty, MD

Diagnostic Radiology Physician · Lumberton, NC

NPI number 1922091115 Active

Practice location

209 West 27th Street
Lumberton, NC 28358-3016

Call (910) 738-8222 Map

Fax (910) 671-0846

Mailing address

P.o. Box 1527
Lumberton, NC 28359-1527

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X000018135 (NC)
Diagnostic Radiology Physician Primary 2085R0202X18135 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1922091115

George Hurst Provosty, MD's National Provider Identifier is 1922091115, issued on Aug 24, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lumberton, NC. The record was last updated on Jul 20, 2010.