| Elizabeth George, Md, Pc | |
|
207 River Park North Dr Woodstock GA 30188-7835 | |
| (678) 388-2184 | |
| (678) 388-2188 |
| Full Name | Elizabeth George, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 207 River Park North Dr, Woodstock, Georgia |
| Authorized Official Name and Position | Elizabeth Chacko George (PRESIDENT OWNER PHYSICIAN) |
| Authorized Official Contact | 6783882184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth George, Md, Pc 207 River Park North Dr Woodstock GA 30188-7835 Ph: (678) 388-2184 | Elizabeth George, Md, Pc 207 River Park North Dr Woodstock GA 30188-7835 Ph: (678) 388-2184 |
| NPI Number | 1528107638 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335174192 |
|---|---|
| Medicare Enrollment ID | O20050929000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528107638 | NPI | - | NPPES |
| 2283324-YF | Other | GA | STATE ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Georgia) | Primary |
| Provider Name | Elizabeth George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336132703 PECOS PAC ID: 2961437728 Enrollment ID: I20050930000459 |
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