Individual
CLARISSA DAWN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT (R) (CT)
Contact information
Practice address
5810 WATERFALL WAY, BUFORD, GA 30518-1376
(407) 448-6712
Mailing address
107 GROVEWOOD AVE, SANFORD, FL 32773-5952
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
CRT 52013
FL
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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