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NPI Code Detail

MEDICARE: SUSAN GEORGE M.D.

MEDICARE: SUSAN 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianD0088623MD

General Provider Information

NPI Number : 1396071700
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN GEORGE M.D.
Provider Business Mailing Address
First Line : 12254 GREEN MEADOW DR
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2853
Country : US
Telephone Number : 443-367-8911
Fax Number :
Provider Business Practice Location Address
First Line : 100 OWINGS CT STE 12
Second Line :
City : REISTERSTOWN
State : MD
Zip : 21136-6434
Country : US
Telephone Number : 410-591-4898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2009
Last Update Date : 03/23/2026

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

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