MEDICARE: DR. JOSEPH A GEORGE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	4301048291	MI
2	207R00000X	Internal Medicine Physician	4301048291	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740352798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH A GEORGE M.D.

Provider Business Mailing Address
First Line	:	4006 FORT ST
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-4111
Country	:	US
Telephone Number	:	313-386-3200
Fax Number	:	313-388-3335

Provider Business Practice Location Address
First Line	:	4006 FORT ST
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-4111
Country	:	US
Telephone Number	:	313-386-3200
Fax Number	:	313-388-3335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	09/11/2025

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