Healthcare Provider Details

I. General information

NPI: 1245311000
Provider Name (Legal Business Name): CECIL DONALD GEORGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 GREENWAY CENTER DR STE 1200
GREENBELT MD
20770-3556
US

IV. Provider business mailing address

8116 GOOD LUCK RD SUITE 305
LANHAM MD
20706-3502
US

V. Phone/Fax

Practice location:
  • Phone: 301-486-7580
  • Fax: 301-486-7581
Mailing address:
  • Phone: 301-552-1200
  • Fax: 301-552-1202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0058182
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: