Individual
PHILIP GEORGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237-6345
(317) 893-1900
(317) 893-1901
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME135658
FL
207RC0000X
Cardiovascular Disease Physician
01089892A
IN
207RC0000X
Cardiovascular Disease Physician
ME135658
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01089892A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
ME135658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024607000
—
FL
01
—
TBEPP
BCBS
FL
Enumeration date
06/10/2010
Last updated
01/03/2024
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