Individual
DR. TARA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(516) 428-4473
Mailing address
611 ALCORN DR, CORINTH, MS 38834-9388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
GEOR-0ZIOY8
MS
Other
Enumeration date
06/30/2020
Last updated
08/03/2020
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