Individual
PATRICIA ANN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
102125
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051502296
BLUE CROSS
AL
05
—
051502296
—
AL
01
—
051502297
BLUE CROSS
AL
01
—
051530394
BLUE CROSS
AL
01
—
500017963
RAILROAD MEDICARE
AL
05
—
891002240
—
AL
05
—
891010240
—
AL
Enumeration date
05/11/2006
Last updated
03/09/2016
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