| Fred George Ph.d,, P.a. | |
|
1275 James Dr Suite A Enterprise AL 36330-2063 | |
| (334) 347-1862 | |
| (334) 347-2919 |
| Full Name | Fred George Ph.d,, P.a. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1275 James Dr, Enterprise, Alabama |
| Authorized Official Name and Position | Fred George (PSYCHOLOGIST) |
| Authorized Official Contact | 3343471862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred George Ph.d,, P.a. 1275 James Dr Suite A Enterprise AL 36330-2063 Ph: (334) 347-1862 | Fred George Ph.d,, P.a. 1275 James Dr Suite A Enterprise AL 36330-2063 Ph: (334) 347-1862 |
| NPI Number | 1548418452 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548418452 | NPI | - | NPPES |
| 890001970 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 143 (Alabama) | Primary |
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