Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 9540 | AL |
NPI | 1255363537 |
---|---|
Provider Name | Dr. George B Inge |
First Address | Mobile, AL 36607-3520 |
Second Address | Mobile, AL 36607-3520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
051507968 | (05) | AL |
07968 | BLUE CROSS (01) | AL |
C74840 | (02) | AL |