Organization
ANDREW GEORGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GEORGE MD (OWNER)
(662) 873-0477
Entity
Organization
Contact information
Practice address
25 S FOURTH ST, ROLLING FORK, MS 39159-5146
(662) 873-0477
(662) 873-0742
Mailing address
25 S FOURTH ST, ROLLING FORK, MS 39159-5146
(662) 873-0477
(662) 873-0742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13643
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02984093
—
MS
Enumeration date
10/04/2007
Last updated
10/04/2007
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