Healthcare Provider Details

I. General information

NPI: 1255363537
Provider Name (Legal Business Name): GEORGE B INGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MOBILE INFIRMARY CIR SUITE 213
MOBILE AL
36607-3520
US

IV. Provider business mailing address

3 MOBILE INFIRMARY CIR SUITE 213
MOBILE AL
36607-3520
US

V. Phone/Fax

Practice location:
  • Phone: 251-438-4200
  • Fax: 251-438-4211
Mailing address:
  • Phone: 251-438-4200
  • Fax: 251-438-4211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number9540
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: