Individual
MARY G GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 RIDLEY LN, DECATUR, GA 30030-2909
(404) 964-4229
Mailing address
130 RIDLEY LN, DECATUR, GA 30030-2909
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
84-40
NM
208200000X
Plastic Surgery Physician
Primary
H7737
TX
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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