Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 132099 | CA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 35094135 | OH |
NPI | 1477753457 |
---|---|
Provider Name | Dr. Amy George |
First Address | Sacramento, CA 95817-2307 |
Second Address | Sacramento, CA 95817-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2007 |
Last Update Date | 20/08/2014 |