MEDICARE: DR. PAMELA D. GEORGE DC

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	111N00000X	Chiropractor	00654	CT

General Provider Information

NPI Number	:	1881783496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA D. GEORGE DC

Provider Business Mailing Address
First Line	:	2000 POST RD
Second Line	:	SUITE 200
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-5730
Country	:	US
Telephone Number	:	203-254-2273
Fax Number	:	203-254-8136

Provider Business Practice Location Address
First Line	:	2000 POST RD
Second Line	:	SUITE 200
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-5730
Country	:	US
Telephone Number	:	203-254-2273
Fax Number	:	203-254-8136

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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