Individual
THERESA ROSE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
1 MEDICAL PARK BLVD STE 205E, BRISTOL, TN 37620-7507
(423) 844-5520
Mailing address
24299 FLAX RD, ABINGDON, VA 24211-6167
(704) 652-2387
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024180917
VA
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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