Individual
GEORGE LEE MCCASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 PARKWOOD DRIVE, BRUNSWICK, GA 31520-4722
(912) 466-7187
(912) 466-7185
Mailing address
2415 PARKWOOD DRIVE, BRUNSWICK, GA 31520-4722
(912) 466-7188
(912) 466-7185
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
29624
SC
207R00000X
Internal Medicine Physician
063689
GA
208M00000X
Hospitalist Physician
Primary
063689
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259539700
—
FL
05
—
296245
—
SC
01
—
58619
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
06/17/2006
Last updated
02/17/2017
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