Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 36002799G | OH |
Y | 222Z00000X | Podiatrist | 36002799G | OH |
NPI | 1023058021 |
---|---|
Provider Name | Christopher P George |
First Address | Columbus, OH 43220-3854 |
Second Address | Columbus, OH 43220-3854 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 24/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0932736 | (05) | OH |
U43521 | (02) | OH |