Organization
DOUGLAS COUNTY FAMILY PRACTICE, P.C.
Active
Other names
Mariam George, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM GEORGE M.D. (FAMILY PRACTICE PHYSICIAN)
(770) 949-5535
Entity
Organization
Contact information
Practice address
3872 HIGHWAY 5, DOUGLASVILLE, GA 30135-3366
(770) 949-5535
(770) 949-9022
Mailing address
3872 HIGHWAY 5, DOUGLASVILLE, GA 30135-3366
(770) 949-5535
(770) 949-9022
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
023734
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00312826C
—
GA
Enumeration date
08/04/2005
Last updated
08/22/2020
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