MEDICARE: GEORGE JAMES, 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	174400000X	Specialist	D40075	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00241387	OTHER	MD	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A7210001	OTHER	DC	BC DC/METRO
2	OJ39GC52120808	OTHER	MD	BC MARYLAND
3	916531	OTHER	MD	UHC GROUP

General Provider Information

NPI Number	:	1346215688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE JAMES, M.D.

Provider Business Mailing Address
First Line	:	3905 NATIONAL DR
Second Line	:	STE 250
City	:	BURTONSVILLE
State	:	MD
Zip	:	20866-1100
Country	:	US
Telephone Number	:	410-848-8202
Fax Number	:	410-848-2644

Provider Business Practice Location Address
First Line	:	3905 NATIONAL DR
Second Line	:	STE 250
City	:	BURTONSVILLE
State	:	MD
Zip	:	20866-1100
Country	:	US
Telephone Number	:	410-848-8202
Fax Number	:	410-848-2644

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	GEORGE JAMES
Credential	:	M.D.
Telephone Number	:	410-848-8202

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	04/20/2008

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