Organization
FRED GEORGE PH.D,, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED GEORGE PH.D. (PSYCHOLOGIST)
(334) 347-1862
Entity
Organization
Contact information
Practice address
1275 JAMES DR, SUITE A, ENTERPRISE, AL 36330-2063
(334) 347-1862
(334) 347-2919
Mailing address
1275 JAMES DR, SUITE A, ENTERPRISE, AL 36330-2063
(334) 347-1862
(334) 347-2919
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
143
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890001970
—
AL
Enumeration date
09/04/2008
Last updated
09/04/2008
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