Individual
JOHN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5530 HOHMAN AVE, HAMMOND, IN 46320-1935
(219) 933-2291
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031470A
IN
Other
Enumeration date
12/01/2015
Last updated
03/19/2021
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