Joseph A. George,md,pc | |
4006 Fort St Lincoln Park MI 48146-4111 | |
(313) 386-3200 | |
(313) 388-3335 |
Full Name | Joseph A. George,md,pc |
---|---|
Speciality | Clinic/Center |
Location | 4006 Fort St, Lincoln Park, Michigan |
Authorized Official Name and Position | Joseph Amir George (PRESIDENT) |
Authorized Official Contact | 3133863200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Joseph A. George,md,pc 4006 Fort St Lincoln Park MI 48146-4111 Ph: (313) 386-3200 | Joseph A. George,md,pc 4006 Fort St Lincoln Park MI 48146-4111 Ph: (313) 386-3200 |
NPI Number | 1285800094 |
---|---|
Provider Enumeration Date | 05/01/2008 |
Last Update Date | 05/01/2008 |
Medicare PECOS PAC ID | 9739375536 |
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Medicare Enrollment ID | O20101118001051 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285800094 | NPI | - | NPPES |
102959033 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 4301048291 (Michigan) | Primary |
Provider Name | Joseph A George |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740352798 PECOS PAC ID: 6709072507 Enrollment ID: I20101118001114 |
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