Individual
MARK A. GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
107 HAMILTON CT, EASLEY, SC 29642-3066
(864) 477-0204
Mailing address
107 HAMILTON CT, EASLEY, SC 29642-3066
(864) 477-0204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0515447
SC
Other
Enumeration date
06/09/2015
Last updated
02/15/2021
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