Individual
DEON EDGERSON-GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 MAIN ST, SUITE 209, CHESTER, MD 21619-2791
(410) 643-4524
(410) 643-4523
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6576
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D74685
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056993300
—
MD
01
—
3156028
CIGNA
MD
01
—
8573562
AETNA PPO
MD
01
—
9144899
AETNA HMO
MD
01
—
AB11-0002
CAREFIRST
MD
Enumeration date
05/14/2008
Last updated
11/29/2013
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