Individual
DR. DIANE TERESA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1040 EDGEWATER CORPORATE PKWY STE 106, FORT MILL, SC 29707-4526
(803) 913-4500
(803) 913-4600
Mailing address
1040 EDGEWATER CORPORATE PKWY STE 106, FORT MILL, SC 29707-4526
(803) 913-4500
(803) 913-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012-00850
NC
207RR0500X
Rheumatology Physician
Primary
2012-00850
NC
207RR0500X
Rheumatology Physician
91931
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811130123
—
NC
05
—
5920351
—
NC
05
—
NC1591
—
SC
Enumeration date
04/16/2009
Last updated
02/25/2026
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