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NPI Code Detail

MEDICARE: GEORGE M. TANNOUS M.D.

MEDICARE:   GEORGE M. TANNOUS  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
1207R00000XInternal Medicine Physician0101058361VA

Other Identifiers

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

General Provider Information

NPI Number : 1851329353
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE M. TANNOUS M.D.
Provider Business Mailing Address
First Line : 828 HEALTHY WAY
Second Line : SUITE 220
City : VIRGINIA BEACH
State : VA
Zip : 23462-7958
Country : US
Telephone Number : 757-305-1797
Fax Number : 757-309-4715
Provider Business Practice Location Address
First Line : 828 HEALTHY WAY
Second Line : SUITE 220
City : VIRGINIA BEACH
State : VA
Zip : 23462-7958
Country : US
Telephone Number : 757-305-1797
Fax Number : 757-309-4715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 02/28/2011

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

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