Individual
DR. MATTHEW KENYON GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 988-5281
(601) 974-6241
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22585
MS
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
22585
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04478370
—
MS
Enumeration date
08/12/2006
Last updated
11/17/2022
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