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Organization

JEANNINE GEORGE-RICHARDSON, DPM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEANNINE E. GEORGE-RICHARDSON DPM (PODIATRIST)
(410) 869-4147
Entity
Organization

Contact information

Practice address
2 E ROLLING CROSSROADS, SUITE 152, CATONSVILLE, MD 21228-6211
(410) 869-4147
(410) 869-4149
Mailing address
2201 SAVANNAH ST SE, WASHINGTON, DC 20020-7536
(410) 489-4747
(410) 869-4149

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
01417
MD
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO1000047
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
445613100
MD
01
6709300001
DME
MD
01
6709300002
DME
DC
Enumeration date
03/19/2014
Last updated
08/02/2016
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