Individual
EDWARD R GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 LAKE WRIGHT DR, NORFOLK, VA 23502-1871
(757) 466-8683
(757) 466-8892
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 213-5700
(757) 213-5701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101029566
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006099190
—
VA
01
—
15141
OPTIMA
VA
01
—
830003805
RAILROAD MEDICARE
VA
Enumeration date
06/17/2005
Last updated
04/11/2011
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