Individual
DR. GEORGE MACK BIRD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
821 PLAZA AVE, SUITE B, EASTMAN, GA 31023
(478) 374-9935
(478) 374-7442
Mailing address
821 PLAZA AVE, SUITE B, EASTMAN, GA 31023
(478) 374-9935
(478) 374-7442
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
035-210
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000502312A
—
GA
Enumeration date
01/30/2009
Last updated
01/30/2009
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