MEDICARE: DR. YVETTE ANDREE 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
1	174400000X	Specialist	045800	GA
2	207N00000X	Dermatology Physician	045800	GA

General Provider Information

NPI Number	:	1528050804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YVETTE ANDREE GEORGE M.D.

Provider Business Mailing Address
First Line	:	3495 PIEDMONT RD NE
Second Line	:	NINE PIEDMONT CENTER
City	:	ATLANTA
State	:	GA
Zip	:	30305-1717
Country	:	US
Telephone Number	:	404-504-5678
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 TOWNPARK LN NW
Second Line	:	KAISER PERMANENTE TOWNPARK MEDICAL CENTER
City	:	KENNESAW
State	:	GA
Zip	:	30144-5579
Country	:	US
Telephone Number	:	706-277-7311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	01/10/2022

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