Individual
TIMOTHY RUSSELL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
1474 HARWICK CT, CROFTON, MD 21114-1103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009774
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2024
Last updated
02/22/2025
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