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NPI Code Detail

MEDICARE: KIMBERLY C GEORGE MD

MEDICARE: KIMBERLY C 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
1207R00000XInternal Medicine Physician0101239959VA
2208000000XPediatrics Physician0101239959VA
3207KA0200XAllergy Physician0101239959VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21417267683OTHERGROUP NPI

General Provider Information

NPI Number : 1932130531
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY C GEORGE MD
Provider Business Mailing Address
First Line : 1000 BOULDERS PKWY STE 102
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23225-5515
Country : US
Telephone Number : 804-320-4243
Fax Number : 804-282-1486
Provider Business Practice Location Address
First Line : 6600 W BROAD ST STE 300
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1710
Country : US
Telephone Number : 804-320-4243
Fax Number : 804-622-0552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 09/09/2021

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Directions to “ KIMBERLY C GEORGE MD” Practice Location

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