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NPI Code Detail

MEDICARE: BRETT ANDREW GEORGE M.D.

MEDICARE: BRETT ANDREW 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
12084P0800XPsychiatry Physician60228TN

General Provider Information

NPI Number : 1104272293
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT ANDREW GEORGE M.D.
Provider Business Mailing Address
First Line : 951 COURT AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2813
Country : US
Telephone Number : 901-577-1800
Fax Number :
Provider Business Practice Location Address
First Line : 951 COURT AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2813
Country : US
Telephone Number : 901-577-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2016
Last Update Date : 08/29/2024

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