Organization
G. REED FAILING, JR, MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE REED FAILING JR. MD (PRESIDENT)
(301) 777-1051
Entity
Organization
Contact information
Practice address
925 SETON DR, CUMBERLAND, MD 21502-1817
(301) 777-1051
(301) 722-2475
Mailing address
PO BOX 1307, CUMBERLAND, MD 21501-1307
(301) 777-1051
(301) 722-2475
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0015631
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096655000
WEST VIRGINIA MEDICAID
WV
01
—
1109316
UMWA
—
05
—
979411500
—
MD
Enumeration date
06/27/2005
Last updated
08/07/2013
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