Individual
MERCY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 CHESTNUT ST, SUITE 220A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
Mailing address
925 CHESTNUT ST, SUITE 220A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP010520
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103229445
—
PA
Enumeration date
09/19/2016
Last updated
03/07/2017
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