Organization
GEORGE J CARLEY DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE J CARLEY JR. D.O. (OWNER/PHYSICIAN)
(810) 985-5700
Entity
Organization
Contact information
Practice address
1943 HOLLAND AVE, PORT HURON, MI 48060-1519
(810) 985-5700
(810) 985-5454
Mailing address
1943 HOLLAND AVE, PORT HURON, MI 48060-1519
(810) 985-5700
(810) 985-5454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GC011673
MI
207Q00000X
Family Medicine Physician
JB070145
MI
207Q00000X
Family Medicine Physician
RS074708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4463388
—
MI
01
—
DE0592
MEDICARE TRAVELLERS RR
MI
Enumeration date
08/20/2006
Last updated
06/13/2008
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