Individual
GEORGE T MAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 N BOULEVARD, RICHMOND, VA 23220-3306
(804) 358-0248
(804) 358-9477
Mailing address
425 N BOULEVARD, RICHMOND, VA 23220-3306
(804) 358-0248
(804) 358-9477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101039724
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005699673
—
VA
01
—
1083673701
GROUP NPI NUMBER
—
01
—
110125661
MEDICARE RAILROAD
VA
Enumeration date
04/04/2006
Last updated
05/14/2012
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