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Individual

KHALID GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
825 CENTURY MEDICAL DR STE A, TITUSVILLE, FL 32796-2113
(321) 268-6868
(321) 268-6895
Mailing address
805 CENTURY MEDICAL DR STE C, TITUSVILLE, FL 32796-2100
(321) 268-6264
(321) 268-6273

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME137710
FL
390200000X
Student in an Organized Health Care Education/Training Program
4301103814
MI

Other

Enumeration date
07/31/2013
Last updated
04/20/2021
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