Individual
DR. GEORGE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 LANIOLU PL, KIHEI, HI 96753-9343
(808) 879-6121
(808) 879-0500
Mailing address
PO BOX 888, WAILUKU, HI 96793-0888
(808) 879-8716
(808) 879-0500
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
MD3884
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Y051675
—
HI
Enumeration date
06/05/2007
Last updated
07/12/2012
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