Organization
ELIZABETH GEORGE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH CHACKO GEORGE M.D (PRESIDENT OWNER PHYSICIAN)
(678) 388-2184
Entity
Organization
Contact information
Practice address
207 RIVER PARK NORTH DR, WOODSTOCK, GA 30188-7835
(678) 388-2184
(678) 388-2188
Mailing address
207 RIVER PARK NORTH DR, WOODSTOCK, GA 30188-7835
(678) 388-2184
(678) 388-2188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2283324-YF
STATE ID NUMBER
GA
Enumeration date
02/05/2007
Last updated
08/22/2020
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