MEDICARE: MRS. ARGILLA R GEORGE MD

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	207Q00000X	Family Medicine Physician	0420009412	VT
2	207Q00000X	Family Medicine Physician	013124	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	08V207	OTHER		MVP
3	29189	OTHER	VT	BCBS

General Provider Information

NPI Number	:	1841383940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ARGILLA R GEORGE MD

Provider Business Mailing Address
First Line	:	127 LONG SANDS RD
Second Line	:	SUITE 11
City	:	YORK
State	:	ME
Zip	:	03909-1158
Country	:	US
Telephone Number	:	207-363-8430
Fax Number	:	207-351-3006

Provider Business Practice Location Address
First Line	:	127 LONG SANDS RD
Second Line	:	SUITE 11
City	:	YORK
State	:	ME
Zip	:	03909-1158
Country	:	US
Telephone Number	:	207-363-8430
Fax Number	:	207-351-3006

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	04/12/2011

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