Individual
ANDREW GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
283 W RACE ST, ROLLING FORK, MS 39159-2621
(662) 873-0477
(662) 655-1236
Mailing address
283 W RACE ST, ROLLING FORK, MS 39159-2621
(662) 873-0477
(662) 655-1236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13643
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112116
—
MS
Enumeration date
08/05/2006
Last updated
12/06/2022
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