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NPI Code Detail

MEDICARE: GEORGE E MINSON M.D.

MEDICARE:   GEORGE E MINSON  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
1207R00000XInternal Medicine Physician9998SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110073908OTHERSCRAILROAD MEDICARE ID#

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487616454
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE E MINSON M.D.
Provider Business Mailing Address
First Line : 2845 TRICOM ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9172
Country : US
Telephone Number : 843-797-1770
Fax Number : 843-377-1305
Provider Business Practice Location Address
First Line : 2845 TRICOM ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9172
Country : US
Telephone Number : 843-797-1770
Fax Number : 843-377-1305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 08/30/2012

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Directions to “ GEORGE E MINSON M.D.” Practice Location

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