Individual
JOHN DERRICK GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
525 VERDAE BLVD STE 150, GREENVILLE, SC 29607-4021
(864) 516-1783
Mailing address
525 VERDAE BLVD STE 150, GREENVILLE, SC 29607-4021
(864) 516-1783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1408
SC
208M00000X
Hospitalist Physician
1408
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014086
—
SC
01
—
P01379488
RAILROAD MEDICARE
SC
Enumeration date
06/23/2010
Last updated
01/21/2025
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