MEDICARE: GEORGE WARD 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	207P00000X	Emergency Medicine Physician	11181	MS
2	207Q00000X	Family Medicine Physician	11181	MS

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	:	1790869626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE WARD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1810
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39502-1810
Country	:	US
Telephone Number	:	228-868-4294
Fax Number	:	228-868-4293

Provider Business Practice Location Address
First Line	:	5120 BEATLINE RD
Second Line	:
City	:	LONG BEACH
State	:	MS
Zip	:	39560-3815
Country	:	US
Telephone Number	:	228-868-4294
Fax Number	:	228-868-4293

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/11/2014

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Directions to “ GEORGE WARD M.D.” Practice Location

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