Individual
GAIL GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
290 SPRING LAKE TERRACE, COVINGTON, GA 30016
(470) 444-1211
Mailing address
290 SPRING LAKE TERRACE, COVINGTON, GA 30016
(470) 444-1211
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
202231
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202231
LICENSE
GA
Enumeration date
02/01/2021
Last updated
02/01/2021
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