Individual
JOANNA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 S VAN BUREN ST, ENID, OK 73703-5812
(580) 234-9355
Mailing address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
(855) 984-5121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5400
OK
Other
Enumeration date
03/08/2024
Last updated
11/11/2024
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